Individual provider Active NPI

Merwin Rasmussen, CRNA

  • Certified Registered Nurse Anesthetist
  • Salt Lake City, UT
National Provider Identifier
1497770978
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
367500000X Issued in UT
Practice address
3460 Pioneer Pkwy
Salt Lake City, UT 84120-2049
Phone
(801) 993-9526
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 367500000X UT Primary

Addresses

Primary practice location

3460 Pioneer Pkwy
Salt Lake City, UT 84120-2049

Mailing address

5722 S 1300 W
Salt Lake City, UT 84123-5343
Phone (801) 263-2376

Other practice location 1

5700 E Highway 90
Sierra Vista, AZ 85635-9110
Phone (520) 263-3835

Other identifiers 7

IdentifierTypeStateIssuer
000010143539OtherUTBCBS OF UTAH
001262900OtherIDIDAHO MEDICAID
002488067OtherNVNEVADA MEDICAID
103806100OtherWYWYOMING MEDICAID
107000471101OtherUTIHC
QM0000052628OtherUTALTIUS
QAN017OtherUTSOUTH CAROLINA MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM, AZ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20241119001946 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971512716 Reassigns benefits to 1 organization
I20250128001785 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971512716 Reassigns benefits to 1 organization
I20250312001391 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971512716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Minneapolis College of Physicians and Surgeons, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Street Anesthesia of New Mexico, LLCGroup PAC ID 3476807538, 228 clinicians

Practice addresses (Care Compare)

117 E 19TH St
Lovelace Regional Hospital Roswell
Roswell, NM 88201-5151
Phone (575) 627-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
367500000XUTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Regional Anesthesia Associates Inc CurrentSince Oct 4, 2024 Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Jan 1, 2025 Accepting new patients
Northeastern Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients

Locations

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

1420 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 677-2488

2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

Organizations & group practices 3

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1497770978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5722 S 1300 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841235343",
            "telephone_number": "801-263-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 PIONEER PKWY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841202049",
            "telephone_number": "801-993-9526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 E Highway 90",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856359110",
            "country_code": "US",
            "telephone_number": "520-263-3835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "MERWIN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "367500000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF UTAH",
            "identifier": "000010143539",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO MEDICAID",
            "identifier": "001262900",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA MEDICAID",
            "identifier": "002488067",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING MEDICAID",
            "identifier": "103806100",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "107000471101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "QM0000052628",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA MEDICAID",
            "identifier": "QAN017",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.