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

NPI Status: Active since June 23, 2021

Contact Information

5200 FAIRVIEW BLVD
WYOMING, MN
ZIP 55092
Phone: (651) 464-4611
Fax: (651) 464-7627

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  • Individual
  • Male
  • Years of Experience 4
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance
  • May Accept Medicare Approved Payment

About GRANT BACKMAN

This page provides the complete NPI Profile along with additional information for Grant Backman, a provider established in Wyoming, Minnesota with a medical specialization in Nurse Anesthetist, Certified Registered and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1093384984 assigned on June 2021. The practitioner's primary taxonomy code is 367500000X with license number 2725 (MN). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1093384984
Provider Name
GRANT BACKMAN
Gender
Male
Entity Type
Individual
Location Address
5200 FAIRVIEW BLVD WYOMING, MN 55092
Location Phone
(651) 464-4611
Location Fax
(651) 464-7627
Mailing Address
5200 FAIRVIEW BLVD WYOMING, MN 55092
Mailing Phone
(651) 464-4611
Mailing Fax
(651) 464-7627
Medical School Name
OTHER
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
06-23-2021
Last Update Date
01-23-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
2725
License State
MN
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Grant Backman is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 4082096474

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220823002113

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Grant Backman is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
FAIRVIEW LAKES HEALTH SERVICES5200 FAIRVIEW BOULEVARD
WYOMING, MN 55092
(952) 892-2101Acute Care Hospitals

Reviews for GRANT BACKMAN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093384984
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20183688916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 6 + 8 + 8 + 9 + 1 + 6 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1093384984 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457339780NORTH METRO ANESTHESIA SERVICES P.A.
Organization
Nurse Anesthetist, Certified Registered5200 FAIRVIEW BLVD
WYOMING, MN 55092
(651) 464-4611
1720068810 SCOTT WARD AHRENHOLZ D.O.
Individual
Pediatrics (Sports Medicine)5200 FAIRVIEW BLVD
WYOMING, MN 55092
(651) 982-7800
1386614014 LEON W WILLIAMS CRNA
Individual
Nurse Anesthetist, Certified Registered5200 FAIRVIEW BLVD
WYOMING, MN 55092
(651) 464-4611
1780654434 MICHAEL A GERMAIN CRNA
Individual
Nurse Anesthetist, Certified Registered5200 FAIRVIEW BLVD
WYOMING, MN 55092
(651) 464-4611
1700856465 THERESA M WELTY CRNA
Individual
Nurse Anesthetist, Certified Registered5200 FAIRVIEW BLVD
WYOMING, MN 55092
(651) 464-4611
1881664555 JOHN O KRAMER CRNA
Individual
Nurse Anesthetist, Certified Registered5200 FAIRVIEW BLVD
WYOMING, MN 55092
(651) 464-4611
1598735839 ANNETTA M ATCHISON CRNA
Individual
Nurse Anesthetist, Certified Registered5200 FAIRVIEW BLVD
WYOMING, MN 55092
(651) 464-4611
1184694515 KENT N YOSHIDA CRNA
Individual
Nurse Anesthetist, Certified Registered5200 FAIRVIEW BLVD
WYOMING, MN 55092
(651) 464-4611
1982674230 JUDY A BUDA CRNA
Individual
Nurse Anesthetist, Certified Registered5200 FAIRVIEW BLVD
WYOMING, MN 55092
(651) 464-4611
1134190200 JOHN R GILBERT CRNA
Individual
Nurse Anesthetist, Certified Registered5200 FAIRVIEW BLVD
WYOMING, MN 55092
(651) 464-4611
1023087814 JOHN B BUREN DPM
Individual
Podiatrist (Foot & Ankle Surgery)5200 FAIRVIEW BLVD
WYOMING, MN 55092
(651) 389-0182
1679532147DR. GRETCHEN BOSACKER M.D.
Individual
Family Medicine5200 FAIRVIEW BLVD
WYOMING, MN 55092
(651) 982-7000
1720036619DR. JEFFREY D LEY M.D.
Individual
Orthopaedic Surgery5200 FAIRVIEW BLVD
WYOMING, MN 55092
(651) 389-0189
1700837135 SONDRA S MERICLE MD
Individual
Obstetrics & Gynecology5200 FAIRVIEW BLVD
WYOMING, MN 55092
(651) 982-7670
1407807696 RANDALL G EWALD MD
Individual
Surgery5200 FAIRVIEW BLVD
WYOMING, MN 55092
(651) 982-7659
1386696870 MATTHEW WILLIAM ANDERSON MD
Individual
Obstetrics & Gynecology5200 FAIRVIEW BLVD
WYOMING, MN 55092
(651) 982-7670
1730131228 MARK E KOHLHASE PA-C
Individual
Physician Assistant5200 FAIRVIEW BLVD
WYOMING, MN 55092
(651) 982-7659
1275569238 TERRY MARTINSON MD
Individual
Internal Medicine5200 FAIRVIEW BLVD
WYOMING, MN 55092
(651) 982-7690
1164459905 KENT W SVEE MD
Individual
Internal Medicine5200 FAIRVIEW BLVD
WYOMING, MN 55092
(651) 982-7690
1043243041 MANI MOKALLA MD
Individual
Pediatrics5200 FAIRVIEW BLVD
WYOMING, MN 55092
(651) 982-7000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093384984, enumerated in the NPI registry as an "individual" on June 23, 2021

The provider is located at 5200 Fairview Blvd Wyoming, Mn 55092 and the phone number is (651) 464-4611

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider has more than 4 years of experience.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The practitioner is affiliated to the following hospital(s): FAIRVIEW LAKES HEALTH SERVICES. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 23, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.