IndividualActive
Adrienne Backus
NPI 1063956936 · Certified Registered Nurse Anesthetist · St Louis Park, MN
Provider details
- NPI number
- 1063956936
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 114689 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone: (952) 993-5000
Street-level locationGet directions
Mailing address
8170 33rd Ave S # Ms 21110q
Bloomington, MN 55425-4516
Additional practice locations (2)
- 333 Smith Ave NSaint Paul, MN 55102-2344Phone: (651) 697-5804
- 333 Smith Ave NSaint Paul, MN 55102-2344Phone: (651) 697-5804
Registry dates
- Enumerated
- 2016-12-13
- Last updated
- 2021-03-12
- Certified
- 2021-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.