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

Grant Backman

Individual provider Certified Registered Nurse Anesthetist · NPI 1093384984

Grant Backman is a Certified Registered Nurse Anesthetist (CRNA) in Wyoming, Minnesota. Qualified in 2022, 4 years ago. Practices with North Metro Anesthesia Services PA, a 14-clinician group. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2021

Practice location Address checks out

5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone: (651) 464-4611
Fax: (651) 464-7627
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2725 (MN)

Record details

NPI number1093384984
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 23, 2021
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023
Mailing address5200 Fairview Blvd, Wyoming, MN 55092-8013

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice North Metro Anesthesia Services Pa — 14 clinicians
Accepts Medicare assignment Not indicated

Other providers in Wyoming