JENICA ANN RASMUSSEN
NPI 1114680394
Nurse Practitioner - Family in Phoenix, AZ
About Jenica Ann Rasmussen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENICA ANN RASMUSSEN (NPI 1114680394) is an individual family provider in Phoenix, Arizona, licensed in Arizona (265327) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mesa.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jenica Ann Rasmussen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jenica Rasmussen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85016
- Reassigned Medicare billing, Arizona enrollment
- 1,416 clinicians in this Medicare group
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 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHOENIX, AZ 85016
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 Jenica Rasmussen's NPI number?
The NPI number for Jenica Rasmussen is 1114680394. It was assigned to this individual provider in the NPPES registry on October 14, 2021.
Where is Jenica Rasmussen located?
Jenica Rasmussen practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 933-1900.
What is Jenica Rasmussen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jenica Rasmussen enrolled in Medicare?
Yes. Jenica Rasmussen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jenica Rasmussen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenica Rasmussen reassigns Medicare benefits to Phoenix Children's Hospital (Phoenix, AZ). The 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 Jenica 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 Jenica Rasmussen was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Jenica Ann Rasmussen · NPI 1114680394
Family physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since October 14, 2021.
## Identity
- **NPI:** 1114680394 (Entity type: Individual)
- **Enumerated:** October 14, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 265327 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1919 E THOMAS RD, Phoenix, AZ 85016-7710
- **Phone:** (602) 933-1900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Phoenix Children's Hospital (NPI 1922112044, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1114680394) · Data from the CMS NPPES public registry.