Samantha Jo Rasmussen
Individual provider Active NPI Family Nurse Practitioner · Goddard, KS
NPI 1073465191 · NPPES record last updated Feb 11, 2026
Key facts
- NPI
- 1073465191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 53-84516 (KS)
- Practice address
- 1044 N Casado CT
Goddard, KS 67052-9577 - Phone
- (316) 371-9771
- NPI assigned
- Feb 11, 2026
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mobile Medical II LLC
Practice addresses (Care Compare)
345 N Riverview St
Suite 412
Wichita, KS 67203-4202
Phone (316) 616-1055
Hospital & facility affiliations
- Enhabit Home Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260420000332 | KS | Practitioner - Nurse Practitioner | 3870069644 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-84516 | KS | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-84516 | KS | Yes |
Addresses
Primary practice location
1044 N Casado CT
Goddard, KS 67052-9577
Mailing address
1044 N Casado CT
Goddard, KS 67052-9577
Other providers in Goddard, KS
- Jessica Ann Pauly
- Christopher Peters
- Lydia Samantha Pirilli
- Preferred Medical Associates
- Kimberly Dawn Presley
- Ken Roberts
- Thomas L Rochat
- Jana L Rombeck
- Kimberley E Rowan
- Kelsey Joy Salazar
All providers in Goddard, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.