Individual provider Active NPI

Kristen Ashley Rasmussen, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Worthington, OH
National Provider Identifier
1982228102
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP.024911 Issued in OH
Practice address
445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone
(614) 688-4138
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP.024911 OH Primary

Addresses

Primary practice location

445 E Dublin Granville Rd
Worthington, OH 43085-3192

Mailing address

445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone (614) 688-4138

Other identifiers 1

IdentifierTypeStateIssuer
0461832MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220104000353 OH Practitioner - Nurse Practitioner 3971994849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
I Am Boundless IncGroup PAC ID 9931596103, 17 clinicians

Practice addresses (Care Compare)

445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone 61484438002224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP.024911OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
I Am Boundless, Inc CurrentSince Aug 1, 2023 Accepting new patients
Boundless Health, Inc. CurrentSince Dec 20, 2021 Accepting new patients
Boundless Health, Inc. CurrentSince Dec 20, 2021 Accepting new patients
Boundless Health, Inc. Current Accepting new patients
I Am Boundless, Inc. CurrentSince Aug 1, 2023 Accepting new patients

Locations

445 E Granville Rd
Ste G
Worthington, OH 43085
Phone 61484438002224

445 E Dublin Granville Rd
Worthington, OH 43085
Phone (614) 844-3100

445 E Dublin Granville Rd
Ste H
Worthington, OH 43085

Interoperability endpoints

  • Direct secure messaging: kristen.rasmussen.p1@direct.iamboundless.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1982228102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E DUBLIN GRANVILLE RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853192",
            "telephone_number": "614-688-4138",
            "fax_number": "614-547-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E DUBLIN GRANVILLE RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853192",
            "telephone_number": "614-688-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "KRISTEN",
        "middle_name": "ASHLEY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "CNP.024911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0461832",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.