SEAN RASMUSSEN (FNP) – Family Nurse Practitioner, NPI 1629588934

SEAN RASMUSSEN (FNP) is a healthcare provider. based in South jordan, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 6837840-4405 (UT). The NPI Number for SEAN RASMUSSEN (FNP) is 1629588934

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
SEAN RASMUSSEN (FNP)
NPI
1629588934
Phone
(435) 890-0209
Address
11272 S RICK CIR
Enumeration Date
2 October 2017
Last Update Date
9 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8015618398
Graduation Year
2017 (9 years ago)
PAC ID
1254687551
Group Practice PAC ID
2264973437
Professional Enrollment ID
I20180628001684
Address ID
UT840953946SO406XXPKWY501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,672 NURSE PRACTITIONER in UT

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Provider Addresses for SEAN RASMUSSEN (FNP)

  • Rick Circle, Leavitt Acres, South Jordan, Salt Lake County, Utah, 84020, United States

    SOUTH JORDAN, UT 840954001

    Phone: (435) 890-0209

    Type: Mailing

  • Centennial Parkway, Shops at South Town, Transwest Village, Sandy, Salt Lake County, Utah, 84070, United States

    SANDY, UT 840704137

    Phone: (801) 566-5350

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2023-09-12 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($40).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-12

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: 2018-06-28

PECOS data refreshed: 2026-06-15

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
I20180628001684INurse PractitionerUTTBD

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 84095)

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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: 2264973437View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerUT
Physician AssistantUT
Nurse PractitionerUT
Family PracticeUT
Nurse PractitionerUT
Nurse PractitionerUT
Family PracticeNV

Reviews

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Frequently asked questions

How is SEAN RASMUSSEN (FNP) identified in CMS data?
CMS-hosted NPPES data lists SEAN RASMUSSEN (FNP) with NPI 1629588934.
Can I rely on SEAN RASMUSSEN (FNP) being an active provider?
As of the registry snapshot, SEAN RASMUSSEN (FNP) is marked active.
What healthcare role does SEAN RASMUSSEN (FNP) hold?
Scheduling teams often label SEAN RASMUSSEN (FNP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect SEAN RASMUSSEN (FNP) on a map?
Expect South Jordan, Utah as a primary anchor for SEAN RASMUSSEN (FNP) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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