Molly C Backstrom, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R 181668-8 Issued in MN

Practice address

615 Niagara CT
Duluth, MN 55812-3065

Phone

(218) 726-8155

Fax

(888) 714-0584

NPI assigned

Jul 19, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regents of the University of Minnesota

  dba Community-University Health Care Center

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
  • NPI 1114019858
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1730521717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 NIAGARA CT",
            "address_2": "UNIVERSITY OF MINNESOTA UMD HEALTH SERVICES",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558123065",
            "telephone_number": "218-726-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 NIAGARA CT",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558123065",
            "telephone_number": "218-726-8155",
            "fax_number": "888-714-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKSTROM",
        "first_name": "MOLLY",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R 181668-8",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730521717",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730521717",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Ann Babich, LPCC
• Charles R Babst, DDS
• Zabida Bacchus, COTA
• Vance David Bachelder, MD
• Ruth Therese Backlund, RN, BSN
• Mason Bacso, PT, DPT
• Emily Badger, MSW, LICSW
• Paul Raymond Baecker, MA, NCC, LPCC
• Kristin E Baer Kartch, MD
• Nathan Baer, PHARMD

• Family Nurse Practitioner in Duluth, MN
• Providers in Duluth, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.