1. Home
  2. Directory
  3. Washington
  4. Vancouver
  5. Chiropractor
  6. NPI Profile

DR. MICHAEL B BACK DC
NPI 1962407080
Chiropractor in Vancouver, WA

Active since June 15, 2005Accepts Medicare Assignment
11802 NE 65TH ST, SUITE 100, VANCOUVER, WA 98662(360) 253-6883(360) 892-7040 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael B Back Dc NPPES

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

DR. MICHAEL B BACK DC (NPI 1962407080) is an individual chiropractor in Vancouver, Washington, licensed in Washington (CH00002774) and active in the NPI registry since June 2005. He is a graduate of Other (1992).

NPPES Registry Identity

NPI1962407080
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MICHAEL B BACKCredential: DC
Location Address11802 NE 65TH ST, SUITE 100Vancouver, WA 98662-5521
Mailing Address11802 Ne 65th St, Suite 100Vancouver, WA 98662-5521 · (360) 253-6883 · Fax (360) 892-7040
Phone(360) 253-6883
Fax(360) 892-7040
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJune 15, 2005
Last NPPES UpdateFebruary 19, 2008
✔ NPI 1962407080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH00002774
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
11802 NE 65TH ST, Vancouver, WA 98662
Open in Google Maps ↗

Other Identifiers 5

Other0187146WA · Dept Of Labor & Inds.
Medicaid84058466WA
Medicare ID-Type Unspecified8804671WA
OtherP00169111WA · Medicare Railroad
Medicare UPINU75527WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael B Back Dc 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 ID8820068026
PECOS Enrollment IDI20040727000385

Medicare Billing Reassignment

Medicare enrollment records show Michael Back reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

NW Interventional Medicine And Orthopedic Rehab PLLC
Same address
Medical
11802 NE 65TH ST.
Vancouver, WA 98662
  • Reassigned Medicare billing, Washington enrollment
  • 2 clinicians in this Medicare group
NPI 1982058814 (360) 253-6883

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

POWERS CHIROPRACTIC & REHABILITATION CLINICS, PLLC
Physical Therapist
11802 NE 65TH ST
VANCOUVER, WA 98662
Clark County (360) 253-6883
MR. WILLIAM R MACKENZIE PT
Physical Therapist
11802 NE 65TH ST, 100
VANCOUVER, WA 98662
Clark County (360) 253-6883
MR. ROSS ORTEGA LMP
Specialist
11802 NE 65TH ST, SUITE 100
VANCOUVER, WA 98662
Clark County (360) 253-6883
KAREN M WILSON LMP
Massage Therapist
11802 NE 65TH ST, SUITE 100
VANCOUVER, WA 98662
Clark County (360) 253-6883
VANCOUVER SPINE & ORTHOPEDIC REHABILITION CENTER, PLLC
Specialist
11802 NE 65TH ST
VANCOUVER, WA 98662
Clark County (360) 253-6883

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 Michael Back's NPI number?

The NPI number for Michael Back is 1962407080. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Michael Back located?

Michael Back practices at 11802 NE 65th St Suite 100, Vancouver, WA 98662. The listed phone number is (360) 253-6883.

What is Michael Back's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Michael Back enrolled in Medicare?

Yes. Michael 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.

Which organization bills Medicare for Michael Back's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Back reassigns Medicare benefits to NW Interventional Medicine And Orthopedic Rehab PLLC (Vancouver, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Back's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Back accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Back was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.