Active NPI
Aaron Kimball Rasmussen, PA
- Medical Physician Assistant
- Puyallup, WA
National Provider Identifier
1316258767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA61159161
- Practice address
- 2622 S Meridian
Puyallup, WA 98373-1500 - Phone
- (253) 841-8453
- Fax
- (253) 840-5519
- NPI assigned
- Jun 30, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | PA61159161 | WA | |
| Medical Physician Assistant | 363AM0700X | PA61159161 | WA | Primary |
Addresses
Primary practice location
2622 S Meridian
Puyallup, WA 98373-1500
Mailing address
558 N 5TH Ave
Sequim, WA 98382-3079
Phone (360) 681-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2622 S Meridian
Puyallup, WA 98373-1500
Phone (253) 841-2453
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61159161 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northport Emergency Associates, PA | Past | Accepting new patients | |
| Sarasota Emergency Associates PA | Past | Accepting new patients | |
| Ambulatory Care Physicians of Sarasota LLC | Past | Accepting new patients |
Interoperability endpoints
- arasmussen@paragondermatology.emadirect.md
Organizations & group practices 4
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.
-
- Specialist
- Puyallup, WA
- NPI 1740281344
-
- General Practice Physician
- Sarasota, FL
- NPI 1417986084
-
- Emergency Medical Services (Emergency Medicine) Physician
- North Port, FL
- NPI 1881835569
-
- Emergency Medicine Physician
- Sarasota, FL
- NPI 1831175306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1316258767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "558 N 5TH AVE",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983823079",
"telephone_number": "360-681-6900",
"fax_number": "360-681-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2622 S MERIDIAN",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983731500",
"telephone_number": "253-841-8453",
"fax_number": "253-840-5519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASMUSSEN",
"first_name": "AARON",
"middle_name": "KIMBALL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-30",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WA",
"license": "PA61159161",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA61159161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.