Individual provider Active NPI

Kyle Robert Rasmussen, FNP-C

  • Family Nurse Practitioner
  • Mechanicsville, VA
National Provider Identifier
1457995177
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178027 Issued in VA
Practice address
7255 Hanover Green Dr
Mechanicsville, VA 23111-1706
Phone
(048) 730-1111
Fax
(804) 730-9764
NPI assigned
Nov 6, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024178027 VA Primary

Addresses

Primary practice location

7255 Hanover Green Dr
Mechanicsville, VA 23111-1706

Mailing address

7255 Hanover Green Dr
Mechanicsville, VA 23111-1706
Phone (804) 730-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20200521000403 VA Practitioner - Nurse Practitioner 0547691818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Physicians IncGroup PAC ID 5597650804, 93 clinicians

Practice addresses (Care Compare)

7255 Hanover Green Dr
Mechanicsville, VA 23111-1706
Phone (804) 730-1111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024178027VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Physicians, Inc Current Accepting new patients
Virginia Physicians Inc CurrentSince Mar 9, 2020 Accepting new patients
Virginia Physicians, Inc CurrentSince Mar 9, 2020 Accepting new patients
Virginia Physicians, Inc. Past Accepting new patients

Locations

7255 Hanover Green Dr
Mechanicsvlle, VA 23111
Phone (804) 723-3766

Interoperability endpoints

  • Direct secure messaging: kyle.rasmussen@vpi.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1457995177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 HANOVER GREEN DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111706",
            "telephone_number": "804-730-1111",
            "fax_number": "804-730-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 HANOVER GREEN DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111706",
            "telephone_number": "048-730-1111",
            "fax_number": "804-730-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "KYLE",
        "middle_name": "ROBERT",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-06",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.