Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elliot Daniel Backer, PA-C

Individual provider Dermatology Physician · NPI 1689104986

Elliot Daniel Backer, PA-C is a Physician Assistant in Richfield, Minnesota. Qualified in 2017, 9 years ago. Practices with United Skin Specialists Ltd, a 15-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6425 Nicollet Ave Ste 202
Richfield, MN 55423-1668
Phone: (612) 869-2086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12466 (MN)
Dermatology Physician Taxonomy 207N00000X · Licence 12466 (MN)

Record details

NPI number1689104986
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 19, 2017
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024
Mailing address2 Carlson Pkwy N Ste 240, Plymouth, MN 55447-4485

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice United Skin Specialists Ltd — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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