Jacklyn Backhaus, AGACNP-BC
NPI 1104631506 · Nurse Practitioner · Mauston, WI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacklyn Backhaus, AGACNP-BC is a Nurse Practitioner provider in Mauston, WI (NPI 1104631506).
Provider details
- NPI number
- 1104631506
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 16067-33 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-02-11
- Last updated
- 2025-03-27
- Certified
- 2025-03-27
Frequently asked questions
- What is Jacklyn Backhaus's NPI number?
- Jacklyn Backhaus's National Provider Identifier (NPI) is 1104631506, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacklyn Backhaus's specialty?
- Jacklyn Backhaus is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacklyn Backhaus located?
- Jacklyn Backhaus's practice location on file with NPPES is 1050 Division St, Mauston, WI 53948-1931.
- What is Jacklyn Backhaus's phone number?
- The practice phone number listed in the NPPES registry for Jacklyn Backhaus is (608) 847-6161.
- Does Jacklyn Backhaus accept Medicare?
- Jacklyn Backhaus is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacklyn Backhaus's NPI active?
- Yes — Jacklyn Backhaus's NPI (1104631506) is active in the NPPES registry as of the last update on 2025-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.