GRANT BACKMAN
NPI 1093384984
Nurse Anesthetist, Certified Registered in Wyoming, MN
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 enrolled in Medicare PECOS, is affiliated with Fairview Lakes Health Services, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grant Backman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Grant Backman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wyoming, MN 55092
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: North Metro Anesthesia Services PA
- 34 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Grant Backman located?
Grant Backman practices at 5200 Fairview Blvd, Wyoming, MN 55092. The listed phone number is (651) 464-4611.
What is Grant Backman's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Grant Backman enrolled in Medicare?
Yes. Grant Backman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Grant Backman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grant Backman reassigns Medicare benefits to North Metro Anesthesia Services P.A. (Wyoming, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grant Backman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Grant Backman affiliated with any hospitals?
According to CMS data, Grant Backman is affiliated with Fairview Lakes Health Services.
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.
# Grant Backman · NPI 1093384984
Nurse Anesthetist, Certified Registered physician in Wyoming, Minnesota. Individual provider, active in the CMS NPPES registry since June 23, 2021.
## Identity
- **NPI:** 1093384984 (Entity type: Individual)
- **Enumerated:** June 23, 2021
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 2725 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 5200 FAIRVIEW BLVD, Wyoming, MN 55092-8013
- **Phone:** (651) 464-4611 · **Fax:** (651) 464-7627
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** North Metro Anesthesia Services P.A. (NPI 1457339780, Wyoming, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** January 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1093384984) · Data from the CMS NPPES public registry.