JONATHAN H RASMUSSEN D.O.
NPI 1063785749
Radiology - Diagnostic Radiology in Nellis Afb, NV

Q: What is Jonathan Rasmussen's NPI number?

The NPI number for Jonathan Rasmussen is 1063785749. It was assigned to this individual provider in the NPPES registry on February 11, 2012.

Q: What is Jonathan Rasmussen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since February 11, 2012PECOS Enrolled

4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191(702) 653-2830 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2023, Jul 7, 2021, Jul 1, 2021 and 1 more (4 updates tracked since 2018).

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About Jonathan H Rasmussen D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN H RASMUSSEN D.O. (NPI 1063785749) is an individual diagnostic radiology provider in Nellis Afb, Nevada, licensed in Nebraska (1135) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Nevada School Of Medicine (2012).

NPPES Registry Identity

NPI1063785749

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJONATHAN H RASMUSSENCredential: D.O.

Location Address4700 LAS VEGAS BLVD NNellis Afb, NV 89191-6600

Mailing Address4700 Las Vegas Blvd NNellis Afb, NV 89191-6600 · (702) 653-2830

Phone(702) 653-2830

Sole ProprietorNo

Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2012

Enumeration DateFebruary 11, 2012

Last NPPES UpdateAugust 8, 20234 updates tracked since enumeration

NPPES CertifiedAugust 8, 2023

✔ NPI 1063785749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in NE · 1135

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan H Rasmussen D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113307265

PECOS Enrollment IDI20260106002948

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Rasmussen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memorial Hospital Of Converse County

680 mi

General Practice

111 S 5TH ST
Douglas, WY 82633

Reassigned Medicare billing, Wyoming enrollment
Also billed through NPI 1326085408 (Wyoming)
131 clinicians in this Medicare group

NPI 1356496491 (307) 358-2122

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89191 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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