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

Mrs. Michelle Ann Backfisch, CNP

Individual provider Family Nurse Practitioner · NPI 1639731474

Mrs. Michelle Ann Backfisch, CNP is a Nurse Practitioner in Scott City, Missouri. Qualified in 2019, 7 years ago. Practices with Southeast Missouri Hospital Physicians LLC, a 206-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2019
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

2102 Main St
Scott City, MO 63780-1337
Phone: (573) 264-0042
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2019024732 (MO)

Record details

NPI number1639731474
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJuly 2, 2019
Last updated in NPPESJuly 6, 2020
Certification dateJuly 6, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southeast Missouri Hospital Physicians Llc — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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