Individual provider Active NPI

Sheena Backer, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1215691332
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95025449 Issued in CA
Practice address
4040 Barranca Pkwy Ste 260
Irvine, CA 92604-4780
Phone
(925) 282-1778
NPI assigned
Oct 25, 2021
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95025449 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95025449 CA Primary

Addresses

Primary practice location

4040 Barranca Pkwy Ste 260
Irvine, CA 92604-4780

Mailing address

4040 Barranca Pkwy Ste 260
Irvine, CA 92604-4780
Phone (925) 282-1778

Other practice location 1

711 E Ball Rd Ste 201
Anaheim, CA 92805-5925
Phone (714) 254-8473

Other practice location 2

17862 17th St Ste 107
Tustin, CA 92780-2170
Phone (714) 767-3229

Other practice location 3

940 S Coast Dr Ste 260
Costa Mesa, CA 92626-7719
Phone (949) 524-4313

Other practice location 4

1501 E Orangethorpe Ave Ste 200
Fullerton, CA 92831-5205
Phone (714) 254-8473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240826003586 CA Practitioner - Nurse Practitioner 1658712534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

4040 Barranca Pkwy
Suite 260
Irvine, CA 92604-4780
Phone (925) 282-1778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95025449CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc CurrentSince Aug 16, 2025 Accepting new patients
Pathways Community Services LLC CurrentSince Jun 13, 2024 Accepting new patients
Pathways Community Services LLC CurrentSince Jun 13, 2024 Accepting new patients
Pathways Community Services LLC CurrentSince Apr 21, 2024 Accepting new patients
Pathways Community Services LLC PastSince Jan 14, 2024 Accepting new patients
Clarvida PastSince Apr 1, 2024 Accepting new patients

Locations

711 E Ball Rd
Ste 201
Anaheim, CA 92805
Phone (714) 254-8473

1501 E Orangethorpe Ave
Ste 200
Fullerton, CA 92831
Phone (714) 254-8473

4040 Barranca Pkwy
Ste 260
Irvine, CA 92604

6200 Wilshire Blvd
Ste 1410
Los Angeles, CA 90048
Phone (323) 934-0011

8337 Telegraph Rd
Ste 300
Pico Rivera, CA 90660
Phone (562) 207-4272

17862 17th St
Ste 107
Tustin, CA 92780
Phone (714) 661-5390

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.sheenabacker@148377.advancedmd-direct.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1215691332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 BARRANCA PKWY STE 260",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044780",
            "telephone_number": "925-282-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 BARRANCA PKWY STE 260",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044780",
            "telephone_number": "925-282-1778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 E Ball Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928055925",
            "country_code": "US",
            "telephone_number": "714-254-8473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17862 17th St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927802170",
            "country_code": "US",
            "telephone_number": "714-767-3229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 S Coast Dr Ste 260",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926267719",
            "country_code": "US",
            "telephone_number": "949-524-4313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 E Orangethorpe Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928315205",
            "country_code": "US",
            "telephone_number": "714-254-8473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACKER",
        "first_name": "SHEENA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025449",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95025449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.