Individual provider Active NPI

Diana Rasmussen, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Johnson City, NY
National Provider Identifier
1700297918
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338475 Issued in NY
Practice address
46 Harrison St
Southern New York Neurosurgical Group, P.C.
Johnson City, NY 13790-2120
Phone
(607) 729-4942
Fax
(607) 729-7516
NPI assigned
May 12, 2014
Last updated
May 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 338475 NY Primary
Family Nurse Practitioner 363LF0000X SP013837 PA

Addresses

Primary practice location

46 Harrison St
Southern New York Neurosurgical Group, P.C.
Johnson City, NY 13790-2120

Mailing address

46 Harrison St
Southern New York Neurosurgical Group, P.C.
Johnson City, NY 13790-2120
Phone (607) 729-4942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20140813001158 NY Practitioner - Nurse Practitioner 3870710924 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1020 Vestal Pkwy E
Vestal, NY 13850-1748
Phone (607) 444-6868

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.59 of 100Reported as group
Quality
78.3
Promoting interoperability
100
Improvement activities
40
Cost
72.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP013837PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates PC CurrentSince May 1, 2016 Accepting new patients
Neurosciences Healthcare Medicine, PC CurrentSince Apr 1, 2025 Accepting new patients
United Medical Associates, P.C. CurrentSince May 1, 2016 Accepting new patients
Neurosciences Healthcare Medicine, PC CurrentSince Apr 1, 2025 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Nov 20, 2017 Accepting new patients

Locations

33 Lewis Rd
Ste 2
Binghamton, NY 13905

65 Pennsylvania Ave
Binghamton, NY 13903
Phone (607) 723-5393

122 W Main St
Endicott, NY 13760
Phone (607) 237-4724

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

346 Grand Ave
Johnson City, NY 13790
Phone (607) 729-8156

46 Harrison St
Johnson City, NY 13790
Phone (607) 729-4942

1020 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 444-6868

4417 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 729-2144

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJEFCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1700297918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 HARRISON ST",
            "address_2": "SOUTHERN NEW YORK NEUROSURGICAL GROUP, P.C.",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902120",
            "telephone_number": "607-729-4942",
            "fax_number": "607-729-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 HARRISON ST",
            "address_2": "SOUTHERN NEW YORK NEUROSURGICAL GROUP, P.C.",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902120",
            "telephone_number": "607-729-4942",
            "fax_number": "607-729-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "DIANA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338475",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.