OrganizationActive
Backroad Health Care
NPI 1467857086 · Family Nurse Practitioner · Walnut Hill, IL
Provider details
- NPI number
- 1467857086
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Paul Havrilka, Owner/Provider(618) 545-0707
- License
- 209010715 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs 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
7825a East Grant Road
Walnut Hill, IL 62893
Phone: (618) 545-0707
Street-level locationGet directions
Mailing address
7825a East Grant Road
Walnut Hill, IL 62893
Registry dates
- Enumerated
- 2014-10-24
- Last updated
- 2014-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.