GRANT BACKMAN
NPI 1093384984
Nurse Anesthetist, Certified Registered in Wyoming, MN

Q: What is Grant Backman's NPI number?

The NPI number for Grant Backman is 1093384984. It was assigned to this individual provider in the NPPES registry on June 23, 2021.

Q: What is Grant Backman's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Grant Backman was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 23, 2021

5200 FAIRVIEW BLVD, WYOMING, MN 55092(651) 464-4611(651) 464-7627 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2023, Jun 23, 2021 (2 updates tracked since 2021).

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About Grant Backman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANT BACKMAN (NPI 1093384984) is an individual nurse anesthetist, certified registered in Wyoming, Minnesota, licensed in Minnesota (2725) and active in the NPI registry since June 2021. He is affiliated with Fairview Lakes Health Services and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093384984

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameGRANT BACKMAN

Location Address5200 FAIRVIEW BLVDWyoming, MN 55092-8013

Mailing Address5200 Fairview BlvdWyoming, MN 55092-8013 · (651) 464-4611 · Fax (651) 464-7627

Phone(651) 464-4611

Fax(651) 464-7627

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 23, 2021

Last NPPES UpdateJanuary 23, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2023

✔ NPI 1093384984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MN · 2725

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

5200 FAIRVIEW BLVD, Wyoming, MN 55092

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grant Backman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082096474

PECOS Enrollment IDI20220823002113

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fairview Lakes Health Services

Acute Care Hospitals · Wyoming, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240050

Location5200 Fairview BoulevardWyoming, MN 55092 · Chisago County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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