DAWN R BACK PA
NPI 1841273554
Physician Assistant in Santa Rosa, NM

Active since November 28, 2005PECOS EnrolledAccepts Medicare Assignment
117 CAMINO DE VIDA, SUITE 300, SANTA ROSA, NM 88435(575) 472-4311(575) 472-4313 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dawn R Back Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAWN R BACK PA (NPI 1841273554) is an individual physician assistant in Santa Rosa, New Mexico, licensed in New Mexico (PA2016-0044) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1841273554
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDAWN R BACKCredential: PA
Location Address117 CAMINO DE VIDA, SUITE 300Santa Rosa, NM 88435
Mailing Address117 Camino De Vida, Suite 300Santa Rosa, NM 88435 · (575) 472-4311 · Fax (575) 472-4313
Fax(575) 472-4313
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 28, 2005
Last NPPES UpdateFebruary 8, 2017
NPI 1841273554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NM · PA2016-0044 Licensed in CO · PA.0003777 Licensed in AK · 2103
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

117 CAMINO DE VIDA, Santa Rosa, NM 88435

Other Identifiers 2

Medicaid54452015NM
Medicare UPIN524424YN9W

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dawn R Back Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173705357
PECOS Enrollment IDI20251023001803
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Essentia Health St Joseph's Medical Center

Acute Care Hospitals · Brainerd, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240075
Location523 North 3rd StreetBrainerd, MN 56401 · Crow Wing County
Emergency services Birthing friendly

Riverwood Healthcare Center

Critical Access Hospitals · Aitkin, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241305
Location200 Bunker Hill DriveAitkin, MN 56431 · Aitkin County
Emergency services

Glencoe Regional Health

Critical Access Hospitals · Glencoe, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number241355
Location1805 Hennepin Avenue NorthGlencoe, MN 55336 · Mc Leod County
Emergency services Birthing friendly

Mille Lacs Health System

Critical Access Hospitals · Onamia, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241356
Location200 North Elm StreetOnamia, MN 56359 · Mille Lacs County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers12 claims12 services$21.78 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers12 claims12 services$20.65 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers16 claims96 services$3.21 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers31 claims31 services$18.51 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier35 claims35 services$773.47 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers101 claims101 services$109.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
117 CAMINO DE VIDA, SUITE 300
SANTA ROSA, NM 88435
Clinic/Center (Emergency Care)
117 CAMINO DE VIDA, 100
SANTA ROSA, NM 88435
Family Medicine
117 CAMINO DE VIDA, SUITE 300
SANTA ROSA, NM 88435
Counselor (Professional)
117 CAMINO DE VIDA, SUITE 300
SANTA ROSA, NM 88435
Nurse Practitioner (Family)
117 CAMINO DE VIDA, SUITE 300
SANTA ROSA, NM 88435
Nurse Practitioner (Family)
117 CAMINO DE VIDA, SUITE 300
SANTA ROSA, NM 88435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dawn Back's NPI number?

The NPI number for Dawn Back is 1841273554. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Dawn Back located?

Dawn Back practices at 117 Camino De Vida Suite 300, Santa Rosa, NM 88435. The listed phone number is (575) 472-4311.

What is Dawn Back's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dawn Back enrolled in Medicare?

Yes. Dawn Back is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dawn Back accept?

Health plans from Medica and Sanford Health Plan list Dawn Back as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dawn Back affiliated with any hospitals?

According to CMS data, Dawn Back is affiliated with North Memorial Health Hospital, Essentia Health St Joseph's Medical Center, Riverwood Healthcare Center, Glencoe Regional Health and Mille Lacs Health System.

When was this NPI record last updated?

The NPPES record for Dawn Back was last updated on February 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.