SHANNON RASMUSSEN – Physician Assistant, NPI 1134748080
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for SHANNON RASMUSSEN
597 E 1650 S
BOUNTIFUL, UT 840104023
Phone: (801) 803-1177
Type: Mailing
82 S 1100 E STE 402
SALT LAKE CITY, UT 841021892
Phone: (801) 577-8678
Type: Location
250 GRAND AVE
CRESCENT CITY, CA 955313219
Phone: (801) 803-1177
Type: Mailing
8345 FIRESTONE BLVD STE 310
DOWNEY, CA 902413872
Phone: (562) 923-3001
Fax: (562) 904-0321
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $909.
Total Amount is formed as General ($909) + Research ($0) + Ownership ($0) = $909.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Lilly USA, LLC ($298).
Total Amount
$909
General + Research + Ownership
Payments
38
Total payment records
General Amount
$909
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
| Company | Amount |
|---|---|
| Lilly USA, LLC | $298 |
| ABBVIE INC. | $179 |
| Regeneron Healthcare Solutions, Inc. | $148 |
| Janssen Biotech, Inc. | $141 |
| E.R. Squibb & Sons, L.L.C. | $35 |
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: 2023-06-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211221001372 | I | Physician Assistant | CA | TBD |
| I20230627002066 | I | Physician Assistant | OR | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 180 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 104 | 94 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 46 | 46 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 37 | 18 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 35 | 35 | $0 |
Insurance plans in this area (ZIP 84010)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| D E R M A T O L O G Y | MO | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | CA | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| D E R M A T O L O G Y | VA |
Reviews
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