Nicole Irene Back
Family Nurse Practitioner · Waterford, MI
Nicole Irene Back is a family nurse practitioner with a practice address in Waterford, Michigan, and NPI 1013756576, issued on May 23, 2024. Check the license (Michigan 4704247636, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Nicole Irene Back
- Primary taxonomy
- Family Nurse Practitioner 363LF0000X
- License number
- 4704247636 MI
Self-reported in NPPES; status is on the state search - Practice location
- 5758 Cooley Lake RD, Waterford, MI 48327
- Phone
- (855) 466-3631
- Enumerated
- May 23, 2024
- Record last updated
- Mar 6, 2025
- Medicare enrollment
- Enrolled (PECOS I20241206002028); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
Also registered at 5758 Cooley Lake RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sophia Abraham, NPFamily Nurse Practitioner1093558165
- Stacey Berlin, NPFamily Nurse Practitioner1902467228
- Ashley ChapmanClinical Social Worker1851176382
- Shanna Driscoll, RN, BSNCommunity Health Registered Nurse1366916702
- Jennifer FreyNurse Practitioner1437667946
- Katherine Holyfield, MSN AGPCNP-CAdult Health Nurse Practitioner1447786207
Verify Nicole Irene Back in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 4704247636Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
92% fewer Medicare Part D claims than the average family nurse practitioner in 2024
100 Medicare Part D claims for 43 beneficiaries, against an average of 1,305 among the 140,557 providers of this specialty who prescribed in Part D. 11 claims were for opioids.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through 2 group practices
- Clinton Urgent Care Walk IN ClinicClinton Township, MI
- Transitional Care Services LLCWaterford, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
35 family nurse practitioner records list a practice address in Waterford
They are 35 of the 1,086 NPPES records with a practice address in Waterford, and 5,356 family nurse practitioner records in Michigan.
All 35 in Waterford → All 5,356 in Michigan → Every provider in Waterford →
Other family nurse practitioner records in Michigan
- Uaye Abai, BSC, BSN, RN, FNPWest Bloomfield, MI1457460222
- Leila Abbas, NPInkster, MI1356857056
- Norma AbbottCaro, MI1700321346
- Bianca Abboud, FNPSaginaw, MI1588437404
- Fatima Abdallah, FNP-BCDearborn, MI1831783695
- Fatmeh Abdallah, FNPDearborn, MI1700678745
- Houda AbdallahOak Park, MI1811524655
- Zienab Abdallah, FNPDearborn, MI1417718065
- Samir Abdel-HakCanton, MI1194541094
- Deya Abdelbaki, NPBelleville, MI1427582311
Common questions
What is Nicole Irene Back's NPI number?
Nicole Irene Back's National Provider Identifier (NPI) is 1013756576, issued on May 23, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Nicole Irene Back located?
The NPPES record lists a practice address at 5758 Cooley Lake RD, Waterford, MI, 48327. Phone: (855) 466-3631. Providers update this record themselves, so call before visiting.
How can I verify Nicole Irene Back's license?
NPPES lists Michigan license number 4704247636, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
How much does Nicole Irene Back prescribe under Medicare Part D?
In 2024, Nicole Irene Back had 100 Medicare Part D claims for 43 beneficiaries; the average among family nurse practitioner prescribers was 1,305. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.