Shannon Lynn Backstrom, CNP in Sioux Falls, SD

Shannon Lynn Backstrom, CNP is a medicare enrolled "Nurse Practitioner - Perinatal" in Sioux Falls, South Dakota. Her current practice location is 1417 S. Cliff Ave., Ste. 100, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 322-8937.

Shannon Lynn Backstrom is licensed to practice in South Dakota (license number CP000442) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093787616.

Contact Information

	Shannon Lynn Backstrom, CNP
	1417 S. Cliff Ave., Ste. 100, Sioux Falls, SD 57105-1063
	(605) 322-8937
	(605) 322-8938

Map and Direction

Provider's Profile

Full Name	Shannon Lynn Backstrom
Gender	Female
Speciality	Nurse Practitioner - Perinatal
Location	1417 S. Cliff Ave., Sioux Falls, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093787616
Provider Enumeration Date: 02/07/2006
Last Update Date: 10/10/2018

Medicare PECOS Information:

PECOS PAC ID: 6204855638
Enrollment ID: I20051115000883

Medical Identifiers

Medical identifiers for Shannon Lynn Backstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093787616	NPI	-	NPPES
2387949	Other	SD	ARAZ/ AMERICA'S PPO
400070600	Medicaid	MN
83G56BE	Other	MN	CC SYSTEMS/ BLUE PLUS
283761045259	Other	SD	PREFERRED ONE
9244760	Other	SD	DAKOTACARE
HP55697	Other	SD	HEALTHPARTNERS
0407827	Other	SD	MEDICA
0503706	Medicaid	IA
57105AD05	Other	SD	WPS TRICARE
6828300	Medicaid	SD
10025040700	Medicaid	NE
248007	Other	SD	BLUE CROSS
370624200	Other	SD	DEPT OF LABOR
6828302	Medicaid	SD
83G56BE	Other	MN	BLUE CROSS
924114229808	Other	MN	PRIMEWEST
248007	Other	SD	MIDLANDS CHOICE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP1700X	Nurse Practitioner - Perinatal	CP000442 (South Dakota)	Primary

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. Shannon Lynn Backstrom allows following entities to bill medicare on her behalf.

Entity Name	Avera Mckennan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117

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. Shannon Lynn Backstrom 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
Shannon Lynn Backstrom, CNP Po Box 86370, Sioux Falls, SD 57118-6370 Ph: (605) 322-7510	Shannon Lynn Backstrom, CNP 1417 S. Cliff Ave., Ste. 100, Sioux Falls, SD 57105-1063 Ph: (605) 322-8937

Reviews and Comments

Nurse Practitioner Nurses in Sioux Falls, SD

Paul Stamp, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 S Cliff Ave, Suite 610, Sioux Falls, SD 57105 Phone: 605-322-8860
Lien Lieve Swieringa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 S Ellis Rd, Sioux Falls, SD 57106 Phone: 605-312-3000
Kaitlyn Sarah Isaacson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6110 S Minnesota Ave, Sioux Falls, SD 57108 Phone: 605-328-5800
Mariah Schurman, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 W 18th St, Sioux Falls, SD 57105 Phone: 605-312-2100
Dillon Matthew Hansen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 S Cliff Ave # 2, Sioux Falls, SD 57105 Phone: 605-322-7020
Chelsey Zondervan, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1309 W 17th St, Sioux Falls, SD 57104 Phone: 605-328-8000 Fax: 605-328-8001
Mrs. Donna Lynn Sebesta, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 S Grandview Ave, Sioux Falls, SD 57103 Phone: 605-371-3436

Shannon Lynn Backstrom, CNP - Medicare Nurse Practitioner in Sioux Falls, SD