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KELLIE A BACKMAN APNP
NPI 1639171895
Nurse Practitioner - Family in Onalaska, WI

Active since June 01, 2005
3111 GUNDERSEN DR, ONALASKA, WI 54650(608) 775-8630 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kellie A Backman Apnp NPPES

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

KELLIE A BACKMAN APNP (NPI 1639171895) is an individual family provider in Onalaska, Wisconsin, licensed in Wisconsin (1171) and active in the NPI registry since June 2005. She maintains a secondary practice location in Winona.

NPPES Registry Identity

NPI1639171895
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLIE A BACKMANCredential: APNP
Location Address3111 GUNDERSEN DROnalaska, WI 54650-8447
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300
Phone(608) 775-8630
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateFebruary 6, 2020
✔ NPI 1639171895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in WI · 1171✔ Licensed in MN · 7082
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 1171 (WI)
3111 GUNDERSEN DR, Onalaska, WI 54650
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Secondary Practice Location 1

Location 11122 W Highway 61Winona, MN 55987-1957 · Phone (507) 615-0600

Other Identifiers 1

Medicaid43870600WI

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.

RENEE LYNN MONTI ATC
Specialist
3111 GUNDERSEN DR
ONALASKA, WI 54650
La Crosse County (608) 775-8660
MRS. TARA KATHLEEN DEIGMANN APNP
Nurse Practitioner (Family)
3111 GUNDERSEN DR
ONALASKA, WI 54650
La Crosse County (608) 775-8100
SCOTT A. BOSSMAN PT
Physical Therapist
3111 GUNDERSEN DR
ONALASKA, WI 54650
La Crosse County (608) 782-7300
DR. NICOLE MICHELLE DOCKENDORFF DPT
Physical Therapist
3111 GUNDERSEN DR
ONALASKA, WI 54650
La Crosse County (608) 775-8100
DEREK JAMES SCHEEVEL DPT
Physical Therapist
3111 GUNDERSEN DR
ONALASKA, WI 54650
La Crosse County (608) 775-8600
MEGAN MARIE MORRIS HOMUTH DPT
Physical Therapist
3111 GUNDERSEN DR
ONALASKA, WI 54650
La Crosse County (608) 775-8100
JENNIFER LEA JOHNSON
Nurse Practitioner (Adult Health)
3111 GUNDERSEN DR
ONALASKA, WI 54650
La Crosse County (608) 775-8100
DEVIN S WENRICH M.D.
Family Medicine
3111 GUNDERSEN DR
ONALASKA, WI 54650
La Crosse County (608) 775-8151

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 Kellie Backman's NPI number?

The NPI number for Kellie Backman is 1639171895. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Kellie Backman located?

Kellie Backman practices at 3111 Gundersen Dr, Onalaska, WI 54650. The listed phone number is (608) 775-8630.

What is Kellie Backman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kellie Backman was last updated on February 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.