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

Active since February 11, 2026PECOS EnrolledAccepts Medicare Assignment
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: November 01, 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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Jo Rasmussen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Samantha Rasmussen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mobile Medical II, LLC
12 mi
Family Medicine
345 N RIVERVIEW ST STE 500
Wichita, KS 67203
  • Reassigned Medicare billing, Kansas enrollment
  • 33 clinicians in this Medicare group
NPI 1588409627 (315) 616-1055
Ennoble Hc Ks II LLC
13 mi
Geriatric Medicine
801 E DOUGLAS AVE FL 2ND
Wichita, KS 67202
  • Reassigned Medicare billing, Kansas enrollment
  • 17 clinicians in this Medicare group
NPI 1942182845 (551) 295-8223
Ennoble Hc Ks III LLC
13 mi
Geriatric Medicine
801 E DOUGLAS AVE FL 2ND
Wichita, KS 67202
  • Reassigned Medicare billing, Kansas enrollment
  • 18 clinicians in this Medicare group
NPI 1568344471 (551) 295-8223

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 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Samantha Rasmussen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Rasmussen reassigns Medicare benefits to 3 organizations: Mobile Medical II, LLC (Wichita, KS), Ennoble Hc Ks II LLC (Wichita, KS) and Ennoble Hc Ks III LLC (Wichita, KS). 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 Samantha Rasmussen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Rasmussen accept?

Health plans from Oscar Insurance Company list Samantha Rasmussen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 8 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.