Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jared L Rasmussen

Individual provider Family Nurse Practitioner · NPI 1437651999

Jared L Rasmussen is a Nurse Practitioner in Peridot, Arizona. Qualified in 2015, 11 years ago. Practices with San Carlos Apache Healthcare Corporation, a 145-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2018

Practice location Address checks out

103 E Medicine Way
Peridot, AZ 85542-8554
Phone: (928) 475-1400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP10994 (AZ)

Record details

NPI number1437651999
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 1, 2018
Last updated in NPPESMarch 1, 2018
Mailing address3513 W Church St, Thatcher, AZ 85552-5644

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice San Carlos Apache Healthcare Corporation — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Peridot