DR. JORDAN CHRISTOPHER RENNICKE MD
NPI 1407343767
Family Medicine - Sports Medicine in Travis Afb, CA

Q: What is Jordan Rennicke's NPI number?

The NPI number for Jordan Rennicke is 1407343767. It was assigned to this individual provider in the NPPES registry on April 21, 2018.

Q: What is Jordan Rennicke's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Rennicke was last updated on May 21, 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.

Active since April 21, 2018PECOS Enrolled

101 BODIN CIR, TRAVIS AFB, CA 94535(707) 423-3057 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 21, 2021, Aug 8, 2021, Feb 21, 2020 and 1 more (4 updates tracked since 2018).

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About Dr. Jordan Christopher Rennicke Md NPPES

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

DR. JORDAN CHRISTOPHER RENNICKE MD (NPI 1407343767) is an individual sports medicine provider in Travis Afb, California, licensed in Nebraska (32087) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407343767

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. JORDAN CHRISTOPHER RENNICKECredential: MD

Location Address101 BODIN CIRTravis Afb, CA 94535-1809

Mailing Address101 Bodin CirTravis Afb, CA 94535-1809 · (707) 423-3057

Phone(707) 423-3057

Sole ProprietorYes

Enumeration DateApril 21, 2018

Last NPPES UpdateMay 21, 20244 updates tracked since enumeration

NPPES CertifiedMay 21, 2024

✔ NPI 1407343767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in NE · 32087

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 32087 (NE)

101 BODIN CIR, Travis Afb, CA 94535

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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)

Dr. Jordan Christopher Rennicke Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94535 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

$98.85 typical visit price

range $65.02 – $191.95

Typical copayment $24.71 (range $16.25 – $47.98)

Most-billed visit code 99203

Established Patient

$113.05 typical visit price

range $21.86 – $157.69

Typical copayment $28.26 (range $5.46 – $39.42)

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.

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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.

EDWARD SEAN RODRIGUEZ I.D.M.T

Military Health Care Provider (Independent Duty Medical Technicians)

101 BODIN CIR
TRAVIS AFB, CA 94535

Solano County (707) 423-5478

KENDRA MONICA HILL PT

Physical Therapist

101 BODIN CIR
TRAVIS AFB, CA 94535

Solano County (707) 423-3000

TIMOTHY GUENTHER MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

101 BODIN CIR
TRAVIS AFB, CA 94535

Solano County (707) 423-3000

ANGELA GIESE MD

Surgery (Vascular Surgery)

101 BODIN CIR
FAIRFIELD, CA 94535

Solano County (707) 423-3000

DR. JOSCELYN D. A. C. AQUININGOC PHARMD

Pharmacist

101 BODIN CIR
TRAVIS AFB, CA 94535

Solano County (626) 297-8649

CATHERINE CELINE BRANSTETTER

Dentist (General Practice)

101 BODIN CIR
TRAVIS AFB, CA 94535

Solano County (707) 423-7085

MEGAN ELIZABETH LEE MD

Student in an Organized Health Care Education/Training Program

101 BODIN CIR
FAIRFIELD, CA 94535

Solano County (707) 423-3000

DR. STEVEN DANIEL DEMARTINI M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

101 BODIN CIR
TRAVIS AFB, CA 94535

Solano County (707) 423-3000

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 Jordan Rennicke's NPI number?

The NPI number for Jordan Rennicke is 1407343767. It was assigned to this individual provider in the NPPES registry on April 21, 2018.

Where is Jordan Rennicke located?

Jordan Rennicke practices at 101 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (707) 423-3057.

What is Jordan Rennicke's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Jordan Rennicke enrolled in Medicare?

Yes. Jordan Rennicke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Rennicke was last updated on May 21, 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.