Active NPI
Dane Jeffrey Rasmussen, PA
- Physician Assistant
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 13464
- Practice address
- 1997 Sloan PL Ste 17
Maplewood, MN 55117-2051 - Phone
- (651) 772-6251
- Fax
- (651) 224-9661
- NPI assigned
- Oct 1, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 13464 | MN | Primary |
Addresses
Primary practice location
1997 Sloan PL Ste 17
Maplewood, MN 55117-2051
Mailing address
1997 Sloan PL Ste 17
Maplewood, MN 55117-2051
Phone (651) 772-6251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of North Dakota School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 232-7000
1700 University Ave W
Saint Paul, MN 55104-3727
1997 Sloan PL
Suite 17
Maplewood, MN 55117-2051
Phone (651) 772-3251
45 10TH St W
Saint Paul, MN 55102-1062
Phone (651) 232-3000
Hospital & facility affiliations
- St Croix Regional Medical Center
- M Health Fairview Woodwinds Hospital
- M Health Fairview St John'S Hospital
- Allina United Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Bethesda Hospital | Current | Accepting new patients | |
| St. Croix Regional Medical Center | Past | Accepting new patients | |
| St. Croix Regional Medical Center | Past | Accepting new patients |
Locations
559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
Interoperability endpoints
- drasmussen548398@excellian.direct.allina.com
- drasmussen44919@direct.davitaphysiciansolutions.com
Organizations & group practices 7
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.
-
- Rural Health Clinic/Center
- Frederic, WI
- NPI 1811256126
-
- Rural Health Clinic/Center
- Webster, WI
- NPI 1851652374
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1982201174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1997 SLOAN PL STE 17",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551172051",
"telephone_number": "651-772-6251",
"fax_number": "651-224-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1997 SLOAN PL STE 17",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551172051",
"telephone_number": "651-772-6251",
"fax_number": "651-224-9661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASMUSSEN",
"first_name": "DANE",
"middle_name": "JEFFREY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-01",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "13464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.