Individual provider Active NPI

Wyatt C Rasmussen, AU.D.

  • Audiologist
  • Great Falls, MT
National Provider Identifier
1417330499
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
SLP-AU-LIC-5874 Issued in MT
Practice address
1220 Central Ave W
Great Falls, MT 59404-3969
Phone
(406) 727-6577
Fax
(406) 727-2354
NPI assigned
Jul 8, 2015
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X SLP-AU-LIC-5874 MT Primary
Audiologist-Hearing Aid Fitter 237600000X SLP-AU-LIC-5874 MT

Addresses

Primary practice location

1220 Central Ave W
Great Falls, MT 59404-3969

Mailing address

1220 Central Ave W
Great Falls, MT 59404-3969
Phone (406) 727-6577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160811000801 MT Practitioner - Qualified Audiologist 3072807296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1220 Central Ave W
Great Falls, MT 59404-3969
Phone (406) 727-6577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP-AU-LIC-5874MTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Hearing and Audiology LLC Audiologist CurrentSince Sep 2, 2016 Accepting new patients

Locations

1220 Central Ave W
Great Falls, MT 59404
Phone (406) 727-6577

401 15th Ave S
Ste 207
Great Falls, MT 59405
Phone (406) 727-6577

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1417330499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 CENTRAL AVE W",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594043969",
            "telephone_number": "406-727-6577",
            "fax_number": "406-727-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 CENTRAL AVE W",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594043969",
            "telephone_number": "406-727-6577",
            "fax_number": "406-727-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "WYATT",
        "middle_name": "C",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MT",
            "license": "SLP-AU-LIC-5874",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MT",
            "license": "SLP-AU-LIC-5874",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.