Individual provider Active NPI

Jared Rasmussen, OD

  • Optometrist
  • Mount Vernon, WA
National Provider Identifier
1629320965
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60570304 Issued in WA
Practice address
2100 Little Mountain LN
Mount Vernon, WA 98274-8752
Phone
(360) 424-2020
NPI assigned
Oct 10, 2012
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60570304 WA Primary

Addresses

Primary practice location

2100 Little Mountain LN
Mount Vernon, WA 98274-8752

Mailing address

2100 Little Mountain LN
Mount Vernon, WA 98274-8752
Phone (360) 424-2020

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jared.rasmussen@direct.ncascade.nextgenshare.com
Direct Messaging Address cascadia.eye@direct.ncascade.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151022000708 TX Practitioner - Optometry 3173832789 Reassigns benefits to 1 organization
I20160927003209 WA Practitioner - Optometry 3173832789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Cascade Eye Associates PSGroup PAC ID 5991699498, 12 clinicians

Practice addresses (Care Compare)

2100 Little Mountain LN
Mount Vernon, WA 98274-8752
Phone (360) 416-6735

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Cascade Eye Associates PS Optometrist CurrentSince Mar 13, 2017 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Aug 9, 2015 Accepting new patients
North Cascade Eye Associates PS CurrentSince Mar 13, 2017 Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center CurrentSince Aug 9, 2015 Accepting new patients
North Cascade Eye Associates PS Optometrist Past Accepting new patients
North Cascade Eye Associates PS Past Accepting new patients

Locations

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

202 N Main St
Coupeville, WA 98239
Phone (360) 678-3121

1930 Market St
Mount Vernon, WA 98273
Phone (360) 424-2020

2100 Little Mountain Ln
Mount Vernon, WA 98274
Phone (360) 416-6735

2131 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 416-6735

Interoperability endpoints

  • Direct secure messaging: cascadia.eye@direct.ncascade.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jared.rasmussen@direct.ncascade.nextgenshare.com
  • Direct secure messaging: jrasmussen@cascadia.emadirect.md

Organizations & group practices 6

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": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1629320965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LITTLE MOUNTAIN LN",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982748752",
            "telephone_number": "360-424-2020",
            "fax_number": "360-424-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LITTLE MOUNTAIN LN",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982748752",
            "telephone_number": "360-424-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "JARED",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-10",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60570304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jared.rasmussen@direct.ncascade.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2100 Little Mountain Ln",
            "city": "Mount Vernon",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982748752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cascadia.eye@direct.ncascade.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2100 Little Mountain Ln",
            "city": "Mount Vernon",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982748752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.