SUSAN Y RASMUSSEN (FNP) – Family Nurse Practitioner, NPI 1215933544

SUSAN Y RASMUSSEN (FNP) is a healthcare provider. based in Moberly, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 092880 (MO). The NPI Number for SUSAN Y RASMUSSEN (FNP) is 1215933544

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN Y RASMUSSEN (FNP)
NPI
1215933544
Phone
(660) 263-5556
Address
1501 UNION AVE
Enumeration Date
22 June 2005
Last Update Date
31 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6602638400
Graduation Year
1994 (32 years ago)
PAC ID
5991754392
Group Practice PAC ID
9436052230
Professional Enrollment ID
I20050112000739
Address ID
MO652709407MO1515XAVEX300

Contacts

Secure Messaging
susan.rasmussen.1@2622.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for SUSAN Y RASMUSSEN (FNP)

  • 1501, Union Avenue, Moberly, Randolph County, Missouri, 65270, United States

    SUITE A

    MOBERLY, MO 652709469

    Phone: (660) 263-5556

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 84 Open Payments records for all available years, with a total value of $1,352.

Total Amount is formed as General ($1,352) + Research ($0) + Ownership ($0) = $1,352.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Lilly USA, LLC ($334).

Total Amount

$1,352

General + Research + Ownership

Payments

84

Total payment records

General Amount

$1,352

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050112000739INurse PractitionerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65270)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436052230View full group profile
NameSpecialtyState
Nurse PractitionerMO
-MO
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Cardiovascular Disease (Cardiology)MO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO

Reviews

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Frequently asked questions

Where can patients find SUSAN Y RASMUSSEN (FNP)'s NPI?
You can confirm SUSAN Y RASMUSSEN (FNP) with NPI 1215933544; it appears in the national provider directory.
Is SUSAN Y RASMUSSEN (FNP) currently active in the NPI registry?
CMS-published data lists SUSAN Y RASMUSSEN (FNP) as an active registrant.
What does SUSAN Y RASMUSSEN (FNP) treat or focus on?
Patients typically see SUSAN Y RASMUSSEN (FNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for SUSAN Y RASMUSSEN (FNP)?
We surface Moberly, Missouri for SUSAN Y RASMUSSEN (FNP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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