Kendra Jo Back, ARNP in North Venice, FL - Medicare Nurse Practitioner

Kendra Jo Back, ARNP is a medicare enrolled "Nurse Practitioner" in North Venice, Florida. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hillcrest Clinic, Llc and her current practice location is 2446 Laurel Rd E, North Venice, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 218-6200.

Kendra Jo Back is licensed to practice in Florida (license number ARNP9212674) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437408093.

Contact Information

	Kendra Jo Back, ARNP
	2446 Laurel Rd E, North Venice, FL 34275-3204
	(941) 218-6200
	(941) 218-6182

Map and Direction

Provider's Profile

Full Name	Kendra Jo Back
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	2446 Laurel Rd E, North Venice, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kendra Jo Back graduated from nursing school in 2012

NPI Data:

NPI Number: 1437408093
Provider Enumeration Date: 08/29/2012
Last Update Date: 01/13/2021

Medicare PECOS Information:

PECOS PAC ID: 5597916940
Enrollment ID: I20230605002117

Medical Identifiers

Medical identifiers for Kendra Jo Back such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437408093	NPI	-	NPPES
ARNP9212674	Other	FL	STATE OF FLORIDA ARNP LICENSE
65122071	Medicaid	CO
Y0EZQ	Other	FL	FLORIDA BLUE-BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN.0991706-NP (Colorado)	Secondary
363L00000X	Nurse Practitioner	ARNP9212674 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hillcrest Clinic, Llc	6901700152	7

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kendra Jo Back allows following entities to bill medicare on her behalf.

Entity Name	Hillcrest Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831370188 PECOS PAC ID: 6901700152 Enrollment ID: O20031120000566

Entity Name	Rural Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932586476 PECOS PAC ID: 8820305600 Enrollment ID: O20201029003001

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kendra Jo Back is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kendra Jo Back, ARNP 2446 Laurel Rd E, North Venice, FL 34275-3204 Ph: (941) 218-6200	Kendra Jo Back, ARNP 2446 Laurel Rd E, North Venice, FL 34275-3204 Ph: (941) 218-6200

Reviews and Comments

Nurse Practitioner Nurses in North Venice, FL

Evgeny Gorobtsov, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Laurel Rd E, North Venice, FL 34275 Phone: 941-261-9000
Karisa M Young, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Healthcare Way Ste 202, North Venice, FL 34275 Phone: 941-261-0160 Fax: 941-261-0165
Christie T Le, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Healthcare Way Unit 103, North Venice, FL 34275 Phone: 941-261-0160 Fax: 941-261-0165
Shonna Samantha Bates, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Healthcare Way Unit 200, North Venice, FL 34275 Phone: 941-261-0145 Fax: 941-261-0150
Emily Cunningham, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Laurel Rd E, North Venice, FL 34275 Phone: 941-262-0400 Fax: 941-262-0410
Kimberlee A Wilcox, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Healthcare Way Ste 202, North Venice, FL 34275 Phone: 941-261-0160 Fax: 941-261-0165

Kendra Jo Back, ARNP - Medicare Nurse Practitioner in North Venice, FL