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SAMANTHA JO RASMUSSEN
NPI 1073465191
Nurse Practitioner - Family in Goddard, KS

Active since February 11, 2026PECOS Enrolled
1044 N CASADO CT, GODDARD, KS 67052(316) 371-9771 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Jo Rasmussen NPPES

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

SAMANTHA JO RASMUSSEN (NPI 1073465191) is an individual family provider in Goddard, Kansas, licensed in Kansas (53-84516) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1073465191
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA JO RASMUSSEN
Location Address1044 N CASADO CTGoddard, KS 67052-9577
Mailing Address1044 N Casado CtGoddard, KS 67052-9577
Phone(316) 371-9771
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
✔ NPI 1073465191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KS · 53-84516
1044 N CASADO CT, Goddard, KS 67052
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3870069644
PECOS Enrollment IDI20260420000332
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67052 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Samantha Rasmussen's NPI number?

The NPI number for Samantha Rasmussen is 1073465191. It was assigned to this individual provider in the NPPES registry on February 11, 2026.

Where is Samantha Rasmussen located?

Samantha Rasmussen practices at 1044 N Casado Ct, Goddard, KS 67052. The listed phone number is (316) 371-9771.

What is Samantha Rasmussen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samantha Rasmussen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Rasmussen was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.