Active NPI
Mark James Rasmussen
- Certified Registered Nurse Anesthetist
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704318575
- Practice address
- 303 E Kearsley St
Flint, MI 48502-1907 - Phone
- (810) 762-3147
- NPI assigned
- Nov 18, 2019
- Last updated
- Nov 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 4704318575 | MI | Primary |
Addresses
Primary practice location
303 E Kearsley St
Flint, MI 48502-1907
Mailing address
303 E Kearsley St
Flint, MI 48502-1907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
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
Practice addresses (Care Compare)
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (734) 263-2400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704318575 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Mary's Health Services | Single Specialty | Current | Accepting new patients |
| Henry Ford Health Rochester Hospital | Current | Accepting new patients | |
| Henry Ford Health Rochester Hospital | Single Specialty | Current | Accepting new patients |
| Saint Mary's Health Services | Current | Accepting new patients |
Locations
7560 Solutions Ctr
Chicago, IL 60677
200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000
1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027
1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805
Interoperability endpoints
- https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
- mrasmussen1148615@direct.hfhs.org
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1124063078
Single Specialty
-
- Certified Registered Nurse Anesthetist
- Rochester, MI
- NPI 1235252321
Single Specialty
-
- Family Medicine Physician
- Rochester, MI
- NPI 1184747263
-
dba Mercy Health Saint Mary's
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
-
- General Acute Care Hospital
- Grand Haven, MI
- NPI 1942379284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1740826486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 E KEARSLEY ST",
"city": "FLINT",
"state": "MI",
"postal_code": "485021907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E KEARSLEY ST",
"city": "FLINT",
"state": "MI",
"postal_code": "485021907",
"telephone_number": "810-762-3147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASMUSSEN",
"first_name": "MARK",
"middle_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-18",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704318575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.