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MARY ANNELISE RASMUSSEN
NPI 1073074290
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Sacramento, CA

Active since March 29, 2019PECOS Enrolled
4860 Y ST STE 3850, SACRAMENTO, CA 95817(916) 734-5293 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Annelise Rasmussen NPPES

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

MARY ANNELISE RASMUSSEN (NPI 1073074290) is an individual pediatric rehabilitation medicine provider in Sacramento, California, licensed in California (A180647) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1073074290
Entity TypeIndividualFemale
Primary Taxonomy2081P0010X
Provider Legal NameMARY ANNELISE RASMUSSEN
Location Address4860 Y ST STE 3850Sacramento, CA 95817-2307
Mailing Address4860 Y St Ste 3850Sacramento, CA 95817-2307
Phone(916) 734-5293
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 29, 2019
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1073074290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0010X
License✔ Licensed in CA · A180647
Definition
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.
Also ListedPediatricsTaxonomy 208000000X · License A180647 (CA)
4860 Y ST STE 3850, Sacramento, CA 95817
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Annelise Rasmussen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991188872
PECOS Enrollment IDI20250924003827
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 Reassignments

2

Medicare enrollment records show Mary Rasmussen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The Univ Of Ca
Same address
Maternal & Fetal Medicine
4860 Y ST
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
NPI 1013906973 (916) 734-6930
Shriners Hospitals For Children
1.1 mi
Anesthesiology
2425 STOCKTON BLVD
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 105 clinicians in this Medicare group
NPI 1114415361 (916) 453-2000

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

Other Providers at the Same Location NPPES 19

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

DR. PAUL MARTIN POLIS MD
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 3850
SACRAMENTO, CA 95817
Sacramento County (916) 734-5292
RILEY JOHN BARNES
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 3850
SACRAMENTO, CA 95817
Sacramento County (916) 734-5292
RANDI WONG
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 3850
SACRAMENTO, CA 95817
Sacramento County (916) 734-7041
LORI BJORK MD
Physical Medicine & Rehabilitation (Sports Medicine)
4860 Y ST STE 3850
SACRAMENTO, CA 95817
Sacramento County (916) 734-6343
VARNEET KAUR BRAR BS, MD
Physical Medicine & Rehabilitation
4860 Y ST STE 3850
SACRAMENTO, CA 95817
Sacramento County (916) 734-5292
LILY JUSTINE MD
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 3850
SACRAMENTO, CA 95817
Sacramento County (916) 734-5292
AARTHI MANJUNATHAN
Physical Medicine & Rehabilitation (Sports Medicine)
4860 Y ST STE 3850
SACRAMENTO, CA 95817
Sacramento County (916) 734-5293
ZACHARY KAUFMAN MD
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 3850
SACRAMENTO, CA 95817
Sacramento County (916) 734-5292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Rasmussen's NPI number?

The NPI number for Mary Rasmussen is 1073074290. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Mary Rasmussen located?

Mary Rasmussen practices at 4860 Y St Ste 3850, Sacramento, CA 95817. The listed phone number is (916) 734-5293.

What is Mary Rasmussen's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Is Mary Rasmussen enrolled in Medicare?

Yes. Mary Rasmussen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Rasmussen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Rasmussen reassigns Medicare benefits to 2 organizations: Regents Of The Univ Of Ca (Sacramento, CA) and Shriners Hospitals For Children (Sacramento, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Rasmussen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Rasmussen was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.