Individual provider Active NPI

Amy Backus, NP-C

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1851737787
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A003884 Issued in AR
Practice address
11415 Executive Center Dr
Little Rock, AR 72211-4489
Phone
(501) 224-5220
NPI assigned
May 19, 2013
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A003884 AR Primary

Addresses

Primary practice location

11415 Executive Center Dr
Little Rock, AR 72211-4489

Mailing address

11415 Executive Center Dr
Little Rock, AR 72211-4489
Phone (501) 224-5220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20140212000409 AR Practitioner - Nurse Practitioner 1456580588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Family Care NetworkGroup PAC ID 0648256800, 30 clinicians

Practice addresses (Care Compare)

11415 Executive Ctr Dr
Barg Family Clinic
Little Rock, AR 72211-4489
Phone (501) 224-5220

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Family Care Network CurrentSince Jan 1, 2025 Accepting new patients
Centers Medical Clinic, LLC CurrentSince Nov 23, 2022 Accepting new patients

Locations

11415 Executive Center Dr
Little Rock, AR 72211
Phone (501) 221-6868

1521 Merrill Dr
Ste D240
Little Rock, AR 72211
Phone (501) 660-6897

4208 N Rodney Parham Rd
Little Rock, AR 72212
Phone (501) 223-0779

5125 Northshore Dr
North Little Rock, AR 72118

Interoperability endpoints

  • Direct secure messaging: amy.backus@afcn.eclinicaldirectplus.com

Organizations & group practices 2

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": "1368921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1851737787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11415 EXECUTIVE CENTER DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114489",
            "telephone_number": "501-224-5220",
            "fax_number": "501-228-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11415 EXECUTIVE CENTER DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114489",
            "telephone_number": "501-224-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKUS",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-19",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.