Katelyn Marie Backus

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ14852800 Issued in NJ

Practice address

6017 Main St
Voorhees, NJ 08043-4659

Phone

(856) 673-4500

Fax

(856) 673-4575

NPI assigned

Jul 3, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cooper Surgical Associates, PAGroup PAC ID 3274430764, 303 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cooper University Hospital Hospital, Camden, NJ, CCN 310014

Merit-based Incentive Payment System (MIPS)

Final score

85.23 of 100Reported as group

Quality

77.64

Promoting interoperability

98

Improvement activities

40

Cost

68.41

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbackus37316@direct.cooperhealth.edu

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

• Cooper Surgical Associates, PA

  • Orthopaedic Surgery Physician
  • Voorhees, NJ
  • NPI 1427177195
  Medicare reassignment Care Compare group NPD
• Cooper Surgical Associates, PA

  • Surgery Physician
  • Camden, NJ
  • NPI 1649217514
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Cooper Health System

  • Land Ambulance
  • Camden, NJ
  • NPI 1174976724

  Hospital

  Care Compare affiliation
• The Cooper Health System

  • General Acute Care Hospital
  • Camden, NJ
  • NPI 1568442309
  Care Compare affiliation

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1356028278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935",
            "fax_number": "732-790-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6017 MAIN ST",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434659",
            "telephone_number": "856-673-4500",
            "fax_number": "856-673-4575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1236 Bridle Estates Dr",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190673957",
            "country_code": "US",
            "telephone_number": "215-666-2688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Berlin Cross Keys Rd",
            "address_purpose": "LOCATION",
            "city": "Sicklerville",
            "state": "NJ",
            "postal_code": "080814355",
            "country_code": "US",
            "telephone_number": "856-536-1536",
            "fax_number": "856-536-1565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "651 John F Kennedy Way",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080461262",
            "country_code": "US",
            "telephone_number": "609-835-2838",
            "fax_number": "609-589-3841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W Route 38",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573219",
            "country_code": "US",
            "telephone_number": "856-270-4001",
            "fax_number": "856-325-6555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Egg Harbor Township",
            "state": "NJ",
            "postal_code": "082348353",
            "country_code": "US",
            "telephone_number": "856-632-2667",
            "fax_number": "856-536-1815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACKUS",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ14852800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayala Child & Adolescent Psychiatry, PC
• Gilda Ayala, MSN, APRN, FNP-C
• Sarah Babb, PTA
• Robert R Bachman, M.D.
• Alexandra Back, ATR-BC, LPC
• Tanaya Badsa, OTR/L
• Amanda Marie Bagdasarian, CPNP-PC
• Sarah Bahr-Gordon, PTA
• Mercy Baiden
• Angela Baker

• Nurse Practitioner in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.