Individual provider Active NPI

Aaron Kimball Rasmussen, PA

  • Medical Physician Assistant
  • Puyallup, WA
National Provider Identifier
1316258767
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA61159161 Issued in WA
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

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210611002737 WA Practitioner - Physician Assistant 6901920735 Reassigns benefits to 1 organization

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
Puyallup Dermatology Clinic Inc P.S.Group PAC ID 1153313408, 5 clinicians

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

LicenseStateTypeSpecialty
PA61159161WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.