Individual provider Active NPI

Brett L Rasmussen PA-C, PA-C

  • Medical Physician Assistant
  • Grants Pass, OR
National Provider Identifier
1962712547
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA152949 Issued in OR
Practice address
1716 Williams Hwy
Grants Pass, OR 97527-5661
Phone
(541) 474-4527
NPI assigned
Oct 15, 2010
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA152949 OR Primary

Addresses

Primary practice location

1716 Williams Hwy
Grants Pass, OR 97527-5661

Mailing address

1701 NE 7TH St
Grants Pass, OR 97526-1319

Other identifiers 1

IdentifierTypeStateIssuer
PA152949OtherORLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20110201000756 OR Practitioner - Physician Assistant 4284813676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allcare Medical Group LLCGroup PAC ID 6507269115, 25 clinicians

Practice addresses (Care Compare)

101 1St St
Glendale, OR 97442-9640
Phone 54147141068311

1701 NE 7TH St
Grants Pass, OR 97526-1319

1716 Williams Hwy
Grants Pass, OR 97527-5661
Phone (541) 474-4527

341 E Cottage Park Dr
Suite 1
Cave Junction, OR 97523-1238
Phone (541) 450-3625

741 NE 6TH St
Grants Pass, OR 97526-1556
Phone (541) 471-2701

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Allen Rondeau Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brettrasmussen@acmgllc.allscriptsdirect.net

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

Hospital & facility affiliations 3

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": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1962712547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 WILLIAMS HWY",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275661",
            "telephone_number": "541-474-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN PA-C",
        "first_name": "BRETT",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-15",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA152949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA152949",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.