Individual provider Active NPI

Gina Rasnic, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrence, KS
National Provider Identifier
1679924633
Registry record updated Sep 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-77357-062 Issued in KS
Practice address
1811 Wakarusa Dr Ste 102
Lawrence, KS 66047-2082
Phone
(785) 371-4921
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-77357-062 KS Primary

Addresses

Primary practice location

1811 Wakarusa Dr Ste 102
Lawrence, KS 66047-2082

Mailing address

1811 Wakarusa Dr Ste 102
Lawrence, KS 66047-2082
Phone (785) 371-4921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20191231002251 KS Practitioner - Nurse Practitioner 9638503535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime TMS LLCGroup PAC ID 8820357908, 5 clinicians

Practice addresses (Care Compare)

1811 Wakarusa Dr
Suite 102
Lawrence, KS 66047-2082
Phone (785) 371-4921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prime TMS LLC Psychiatric/Mental Health CurrentSince Dec 12, 2019 Accepting new patients
Interpersonal Psychiatry, LLC Past Accepting new patients

Locations

1811 Wakarusa Dr
Ste 102
Lawrence, KS 66047
Phone (785) 371-4921

Organizations & group practices 2

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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601078400000",
    "number": "1679924633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 WAKARUSA DR STE 102",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472082",
            "telephone_number": "785-371-4921",
            "fax_number": "888-965-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 WAKARUSA DR STE 102",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472082",
            "telephone_number": "785-371-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASNIC",
        "first_name": "GINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-77357-062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.