Shonna Back, NURSE PRACTITIONER - Medicare Nurse Practitioner in Newport, KY

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Shonna Back, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Newport, Kentucky. Her current practice location is 130 Pavilion Pkwy, Newport, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 652-7203.

Shonna Back is licensed to practice in Kentucky (license number 3006274) 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 1376734442.

Contact Information

Shonna Back, NURSE PRACTITIONER
130 Pavilion Pkwy,
Newport, KY 41071-2998
(859) 652-7203
(859) 652-7204

Map and Direction




Provider's Profile

Full NameShonna Back
GenderFemale
SpecialityNurse Practitioner - Family
Location130 Pavilion Pkwy, Newport, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376734442
  • Provider Enumeration Date: 08/05/2007
  • Last Update Date: 07/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6103918198
  • Enrollment ID: I20100722000811

Medical Identifiers

Medical identifiers for Shonna Back such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376734442NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3006274 (Kentucky)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. Shonna Back allows following entities to bill medicare on her behalf.
Entity NameChrist Hospital Medical Associates, Ii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982906103
PECOS PAC ID: 7012197619
Enrollment ID: O20110215000419

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. Shonna 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 AddressPractice Location Address
Shonna Back, NURSE PRACTITIONER
1239 Woodland Dr Ste 108,
Elizabethtown, KY 42701-2770

Ph: (270) 765-4535		Shonna Back, NURSE PRACTITIONER
130 Pavilion Pkwy,
Newport, KY 41071-2998

Ph: (859) 652-7203

Reviews and Comments


Nurse Practitioner Nurses in Newport, KY

Kristin Legrand, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 200 W 3rd St, Newport, KY 41071
Phone: 859-578-5662    Fax: 859-261-3777
Mrs. Suzanne Mary Kreger, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Grand Ave, Newport, KY 41071
Phone: 859-905-3070    Fax: 859-441-1348
Jane Nordman, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 200 West 3rd Street, Newport, KY 41071
Phone: 859-578-5662    Fax: 859-261-3777
Colleen Connaughton, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 215 E 11th St, Newport, KY 41071
Phone: 859-655-6100    
Ms. Sarah Elizabeth Blackburn, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 130 Pavilion Pkwy, Newport, KY 41071
Phone: 859-652-7203    
Anna Ridder, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 215 E 11th St, Newport, KY 41071
Phone: 859-655-6100    
Mrs. Sarah C Rank, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 130 Pavilion Pkwy, Newport, KY 41071
Phone: 859-652-7203    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.