1. Home
  2. Directory
  3. Alaska
  4. Palmer
  5. Family Medicine
  6. NPI Profile

MICAH DAVID RENICKER MD
NPI 1528644424
Family Medicine in Palmer, AK

Active since March 22, 2021PECOS EnrolledAccepts Medicare Assignment
209 W EVERGREEN AVE, PALMER, AK 99645(907) 861-1450 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 1, 2024, Sep 26, 2024, Aug 1, 2024 and 2 more (5 updates tracked since 2021).

About Micah David Renicker Md NPPES

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

MICAH DAVID RENICKER MD (NPI 1528644424) is an individual family medicine provider in Palmer, Alaska, licensed in Alaska (228046) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1528644424
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICAH DAVID RENICKERCredential: MD
Location Address209 W EVERGREEN AVEPalmer, AK 99645-6952
Mailing Address209 W Evergreen Ave Ste APalmer, AK 99645-6952 · (907) 861-1450 · Fax (833) 906-2375
Phone(907) 861-1450
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 22, 2021
Last NPPES UpdateOctober 1, 20245 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1528644424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AK · 228046
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
209 W EVERGREEN AVE, Palmer, AK 99645
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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 David Renicker Md 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 ID6103201751
PECOS Enrollment IDI20240918002407
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
88 services60 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services30 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
26 services23 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99645 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

Other Providers at the Same Location NPPES 3

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

DR. REBEKAH A. ROBINSON M.D.
Family Medicine
209 W EVERGREEN AVE
PALMER, AK 99645
Matanuska-Susitna Borough (907) 861-1450
MR. BENJAMIN DAVID EACHON PA-C, 1LT
Physician Assistant
209 W EVERGREEN AVE
PALMER, AK 99645
Matanuska-Susitna Borough (907) 861-1400
MAT-SU VALLEY III LLC
Clinic/Center (Urgent Care)
209 W EVERGREEN AVE
PALMER, AK 99645
Matanuska-Susitna Borough (907) 861-1400

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 Renicker's NPI number?

The NPI number for Micah Renicker is 1528644424. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Micah Renicker located?

Micah Renicker practices at 209 W Evergreen Ave, Palmer, AK 99645. The listed phone number is (907) 861-1450.

What is Micah Renicker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Micah Renicker enrolled in Medicare?

Yes. Micah Renicker 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.

What insurance does Micah Renicker accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Micah Renicker 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 Micah Renicker was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.