ERIC RENICKER (N.P.) – Psychiatric/Mental Health Nurse Practitioner, NPI 1679629513
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,198 NURSE PRACTITIONER in CO
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Provider Addresses for ERIC RENICKER (N.P.)
202, Montebello Road, Pueblo, Pueblo County, Colorado, 81001, United States
PUEBLO, CO 810011366
Phone: (719) 545-2746
Fax: (719) 542-9638
Type: Mailing
1302, Chinook Lane, Pueblo, Pueblo County, Colorado, 81001, United States
PUEBLO, CO 810011851
Phone: (719) 545-2746
Fax: (719) 542-9638
Type: Location
1290 CHAMBERS RD
AURORA, CO 800117117
Phone: (303) 617-2300
Type: Mailing
11059 E BETHANY DR STE 238
AURORA, CO 800142622
Phone: (303) 617-2300
Fax: (303) 617-2397
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $146.
Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($131).
Total Amount
$146
General + Research + Ownership
Payments
2
Total payment records
General Amount
$146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $131 |
| USWM, LLC | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151201002381 | I | Nurse Practitioner | CO | TBD |
| I20250908000393 | I | Nurse Practitioner | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 81001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OR | |
| - | CA | |
| Clinical Social Worker | OR | |
| - | WA | |
| Mental Health Counselor | OR | |
| Nurse Practitioner | NV | |
| Mental Health Counselor | OR | |
| Clinical Social Worker | OR | |
| Mental Health Counselor | WA | |
| Mental Health Counselor | OR |
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