NPIMap

Individual provider Active NPI

Dane Jeffrey Rasmussen, PA

  • Physician Assistant
  • Maplewood, MN
National Provider Identifier
1982201174
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13464 Issued in MN
Practice address
1997 Sloan PL Ste 17
Maplewood, MN 55117-2051
Phone
(651) 772-6251
Fax
(651) 224-9661
NPI assigned
Oct 1, 2020
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201119002276 MN Practitioner - Physician Assistant 7911318159 Reassigns benefits to 5 organizations
I20210210000299 WI Practitioner - Physician Assistant 7911318159

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
Associated Nephrology Consultants PAGroup PAC ID 7214004068, 15 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Care System CurrentSince Jun 1, 2021 Accepting new patients
St. Croix Regional Medical Center Past Accepting new patients
St. Croix Regional Medical Center Past Accepting new patients

Locations

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

Interoperability endpoints

  • Direct secure messaging: drasmussen44919@direct.davitaphysiciansolutions.com
  • Direct secure messaging: drasmussen548398@excellian.direct.allina.com

Organizations & group practices 8

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

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

Verify at the official NPI Registry.