Stephanie Lola Backer, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9334103 Issued in FL

Practice address

10151 Enterprise Ctr Ste 106
Boynton Beach, FL 33437-3760

Phone

(561) 734-7400

Fax

(561) 734-7448

NPI assigned

Jul 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, MA, CT, CO4 enrollments

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 4

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.backer.1@14940.direct.athenahealth.com

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.

• Ima of South Florida LLC

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1144271115
  Medicare reassignment NPD
• Visavis Health Care Medical Group of FL, PLLC

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1871235416
  Medicare reassignment NPD
• Devens Treatment & Recovery Center, LLC

  • Psychiatry Physician
  • Devens, MA
  • NPI 1811473267
  Medicare reassignment NPD
• Holyoke Capital JV, LLC

  • Psychiatric Hospital
  • Holyoke, MA
  • NPI 1649856618
  Medicare reassignment NPD
• Natchaug Hospital, Inc.

  • Psychiatric Hospital
  • Mansfield Center, CT
  • NPI 1295811321
  Medicare reassignment NPD
• Oak Street Health Physicians Group of Colorado, PLLC

  • Primary Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1134868599

  Family

  Medicare reassignment NPD
• Visavis Health Care Medical Group of CT LLC

  • Family Medicine Physician
  • West Hartford, CT
  • NPI 1275225864
  Medicare reassignment NPD
• Visavis Health Care Medical Group of Ma PLLC

  • Family Medicine Physician
  • Danvers, MA
  • NPI 1053190223
  Medicare reassignment NPD
• Oak Street Health Physicians Group of Colorado, PLLC

  • Primary Care Clinic/Center
  • Denver, CO
  • NPI 1255047288

  Family

  NPD
• Oak Street Health Physicians Group of Colorado, PLLC

  • Primary Care Clinic/Center
  • Commerce City, CO
  • NPI 1609582733

  Family

  NPD

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1881116796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 NW 38TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330652906",
            "telephone_number": "954-736-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CTR STE 106",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373760",
            "telephone_number": "561-734-7400",
            "fax_number": "561-734-7448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Quincy Ave",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023022803",
            "country_code": "US",
            "telephone_number": "508-941-7268",
            "fax_number": "508-941-7850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6037 Kimberly Blvd",
            "address_purpose": "LOCATION",
            "city": "North Lauderdale",
            "state": "FL",
            "postal_code": "330682811",
            "country_code": "US",
            "telephone_number": "954-379-8994",
            "fax_number": "954-289-4682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "189 Storrs Rd",
            "address_purpose": "LOCATION",
            "city": "Mansfield Center",
            "state": "CT",
            "postal_code": "062501683",
            "country_code": "US",
            "telephone_number": "860-456-1311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 Peoria St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800118231",
            "country_code": "US",
            "telephone_number": "720-531-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACKER",
        "first_name": "STEPHANIE",
        "middle_name": "LOLA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8820",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0003438-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9334103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricky Ayoung-Chee, PHARMD
• B & B Monitoring LLC
• B & M Care LLC
• Ivan Babenko, PHARM.D.
• Back to Health of the Palm Beaches
• Mario M Baez, M.D.
• Milalynn B Bagasan, PT
• Christine Kellar Bailey
• Symone Bailey, MSW
• Lisa Susanne Baillargeon, CCC-SLP

• Family Nurse Practitioner in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.