MICAH KENNETH LINK PA-C
NPI 1386528586
Physician Assistant in Maplewood, MN

Active since August 01, 2025PECOS EnrolledAccepts Medicare Assignment
2480 WHITE BEAR AVE N STE 104, MAPLEWOOD, MN 55109(612) 444-3247(612) 888-9247 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Micah Kenneth Link Pa-c NPPES

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

MICAH KENNETH LINK PA-C (NPI 1386528586) is an individual physician assistant in Maplewood, Minnesota, licensed in Minnesota (15425) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1386528586
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICAH KENNETH LINKCredential: PA-C
Location Address2480 WHITE BEAR AVE N STE 104Maplewood, MN 55109-4568
Mailing Address2480 White Bear Ave N Ste 104Maplewood, MN 55109-4568 · (612) 444-3247 · Fax (612) 888-9247
Fax(612) 888-9247
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 1, 2025
Last NPPES UpdateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
NPI 1386528586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 15425
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2480 WHITE BEAR AVE N STE 104, Maplewood, MN 55109

Secondary Practice Locations 4

Location 14181 108th Ave NEBlaine, MN 55449-7439 · Phone (612) 444-3247 · Fax (612) 888-9247
Location 212940 Harriet Ave S Ste 220Burnsville, MN 55337-2794 · Phone (612) 444-3247 · Fax (612) 888-9247
Location 38325 City Centre Dr Ste 140Woodbury, MN 55125-3323 · Phone (612) 444-3247 · Fax (612) 888-9247
Location 412450 Wayzata Blvd Ste 317Minnetonka, MN 55305-2205 · Phone (612) 444-3247 · Fax (612) 888-9247

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Micah Kenneth Link Pa-c 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 ID4981108941
PECOS Enrollment IDI20250922002046, I20251204001299
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 55109 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

Physician Assistant
2480 WHITE BEAR AVE N STE 104
MAPLEWOOD, MN 55109
Nurse Practitioner
2480 WHITE BEAR AVE N STE 104
MAPLEWOOD, MN 55109
Nurse Practitioner (Family)
2480 WHITE BEAR AVE N STE 104
MAPLEWOOD, MN 55109
Physician Assistant
2480 WHITE BEAR AVE N STE 104
MAPLEWOOD, MN 55109
Physician Assistant
2480 WHITE BEAR AVE N STE 104
MAPLEWOOD, MN 55109
Physician Assistant
2480 WHITE BEAR AVE N STE 104
MAPLEWOOD, MN 55109
Physician Assistant (Medical)
2480 WHITE BEAR AVE N STE 104
MAPLEWOOD, MN 55109

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 Micah Link's NPI number?

The NPI number for Micah Link is 1386528586. It was assigned to this individual provider in the NPPES registry on August 1, 2025.

Where is Micah Link located?

Micah Link practices at 2480 White Bear Ave N Ste 104, Maplewood, MN 55109. The listed phone number is (612) 444-3247.

What is Micah Link's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Micah Link enrolled in Medicare?

Yes. Micah Link 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.

When was this NPI record last updated?

The NPPES record for Micah Link was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.