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

Micah David Renicker, MD

Individual provider Family Medicine Physician · NPI 1528644424

Micah David Renicker, MD is a Family Practice in Palmer, Alaska. Qualified in 2021, 5 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alaska.

Years since qualifying
5
Licensed in
AK
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

209 W Evergreen Ave
Palmer, AK 99645-6952
Phone: (907) 861-1450
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 228046 (AK)

Record details

NPI number1528644424
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2021
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024
Mailing address209 W Evergreen Ave Ste A, Palmer, AK 99645-6952

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Palmer