Individual provider Active NPI

Mark A. Rasmusson, PA

  • Physician Assistant
  • Austin, MN
National Provider Identifier
1023116522
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10168 Issued in MN
Practice address
713 Hormel Century Pkwy
Austin, MN 55912-3663
Phone
(507) 200-2344
Fax
(833) 464-3752
NPI assigned
Sep 20, 2006
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10168 MN Primary

Addresses

Primary practice location

713 Hormel Century Pkwy
Austin, MN 55912-3663

Mailing address

713 Hormel Century Pkwy
Austin, MN 55912-3663
Phone (507) 200-2344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061003000314 MN Practitioner - Physician Assistant 2466457080 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10168MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Glacial Ridge Hospital District CurrentSince Mar 1, 2024 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Sep 9, 2006 Accepting new patients
Range Regional Health Services CurrentSince May 15, 2022 Accepting new patients
MH Health Care Services, PC CurrentSince Jul 23, 2023 Accepting new patients
Glacial Ridge Hospital District CurrentSince Mar 1, 2024 Accepting new patients
Range Regional Health Services CurrentSince May 15, 2022 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Jan 9, 2023 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Jan 9, 2023 Accepting new patients
Welia Health CurrentSince May 20, 2024 Accepting new patients

Locations

713 Hormel Century Pkwy
Austin, MN 55912
Phone (507) 200-2344

1656 Central St W
Bagley, MN 56621
Phone (218) 694-2384

10 4th Ave SE
Glenwood, MN 56334
Phone (320) 634-5157

417 Franklin St S
Glenwood, MN 56334
Phone (320) 634-5157

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

126 SE 1st Ave
Grand Rapids, MN 55744
Phone (218) 326-3401

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/glac-1755385c
  • Direct secure messaging: mark.rasmusson.1@14940.direct.athenahealth.com

Organizations & group practices 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1023116522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 HORMEL CENTURY PKWY",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123663",
            "telephone_number": "507-200-2344",
            "fax_number": "833-464-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 HORMEL CENTURY PKWY",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123663",
            "telephone_number": "507-200-2344",
            "fax_number": "833-464-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSON",
        "first_name": "MARK",
        "middle_name": "A.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "10168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, MN

Sources for this page

Verify at the official NPI Registry.