Active NPI
Ellis Rasmussen
- Certified Registered Nurse Anesthetist
- Farmington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 133837
- Practice address
- 263 Farmington Ave
Farmington, CT 06030-0002 - Phone
- (860) 679-2000
- NPI assigned
- Jun 9, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 133837 | TN | Primary |
Addresses
Primary practice location
263 Farmington Ave
Farmington, CT 06030-0002
Mailing address
29 Englewood Ave
West Hartford, CT 06110-1123
Phone (901) 485-3958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210920002531 | CT | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5597162495 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Synergy Anesthesia CT PLLC
Practice addresses (Care Compare)
64 Robbins St
Waterbury, CT 06708-2613
Phone (203) 573-7280
Hospital & facility affiliations
- Waterbury Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133837 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Connecticut Gi PLLC | Current | Accepting new patients | |
| North American Partners in Anesthesia Connecticut PC | Current | Accepting new patients | |
| Woodland Anesthesia Associates PC | Current | Accepting new patients | |
| Synergy Anesthesia CT PLLC | Current | Accepting new patients |
Locations
701 Cottage Grove Rd
Ste F230
Bloomfield, CT 06002
Phone (860) 243-5569
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131
2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375
245 Alvord Park Rd
Bldg B
Torrington, CT 06790
Phone (860) 482-4866
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Shelton, CT
- NPI 1881636397
CT, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- New Britain, CT
- NPI 1316994775
CT
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": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1497322150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 ENGLEWOOD AVE",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061101123",
"telephone_number": "901-485-3958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060300002",
"telephone_number": "860-679-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASMUSSEN",
"first_name": "ELLIS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-09",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "133837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.