KELLY BACKERS – Physician Assistant, NPI 1205204385

KELLY BACKERS is a healthcare provider. based in Waterford, Michigan. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5601007474 (MI). The NPI Number for KELLY BACKERS is 1205204385

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KELLY BACKERS
NPI
1205204385
Phone
(248) 681-1880
Address
1012 W HURON ST
Enumeration Date
8 September 2015
Last Update Date
31 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2483385000
Graduation Year
2015 (11 years ago)
PAC ID
2062721723
Group Practice PAC ID
8426154865
Professional Enrollment ID
I20151020000532
Address ID
MI483422217PO50XXXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for KELLY BACKERS

  • 1012 W HURON ST

    WATERFORD, MI 483283730

    Phone: (248) 681-1880

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $287.

Total Amount is formed as General ($287) + Research ($0) + Ownership ($0) = $287.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($228).

Total Amount

$287

General + Research + Ownership

Payments

6

Total payment records

General Amount

$287

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151020000532IPhysician AssistantMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes17372$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6557$0
99238Hospital discharge day management, 30 minutes or less4137$0
99214Established patient office or other outpatient visit, 30-39 minutes3128$0
99213Established patient office or other outpatient visit, 20-29 minutes2319$0
View full utilization report →

Insurance plans in this area (ZIP 48328)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426154865View full group profile
NameSpecialtyState
Internal MedicineMI
Internal MedicineMI

Reviews

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Frequently asked questions

What is the registry number for KELLY BACKERS?
The registry entry for KELLY BACKERS shows NPI 1205204385.
Does the public listing show KELLY BACKERS as active?
KELLY BACKERS's NPI record reflects an active status in NPPES.
Which specialty label fits KELLY BACKERS?
NPPES ties KELLY BACKERS to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to KELLY BACKERS?
KELLY BACKERS shows a connection to Waterford, Michigan in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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