STEPHANIE LOLA BACKER (APRN) – Family Nurse Practitioner, NPI 1881116796
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for STEPHANIE LOLA BACKER (APRN)
5825 TOSCANA PLACE, APT 206
MARGATE, FL 33063
Phone: (954) 736-9895
Type: Location
189 Storrs Rd
Mansfield Center, CT 062501683
Phone: (860) 456-1311
Type: Location
6037 Kimberly Blvd
North Lauderdale, FL 330682811
Phone: (954) 379-8994
Fax: (954) 289-4682
Type: Location
130 Quincy Ave
Brockton, MA 023022803
Phone: (508) 941-7268
Fax: (508) 941-7850
Type: Location
740 Peoria St
Aurora, CO 800118231
Phone: (720) 531-7111
Type: Location
10151 ENTERPRISE CTR STE 106
BOYNTON BEACH, FL 334373760
Phone: (561) 734-7400
Fax: (561) 734-7448
Type: Location
6037 KIMBERLY BLVD
NORTH LAUDERDALE, FL 330682811
Phone: (954) 379-8994
Fax: (954) 289-4682
Type: Mailing
8500, Northwest 38th Street, Coral Springs, Broward County, Florida, 33065, United States
CORAL SPRINGS, FL 330652906
Phone: (954) 736-9895
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-04-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190613002968 | I | Nurse Practitioner | FL | TBD |
| I20220209000961 | I | Nurse Practitioner | MA | TBD |
| I20241107000794 | I | Nurse Practitioner | CT | TBD |
| I20250421002247 | I | Nurse Practitioner | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33063)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TN |
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