MICAH KENNETH LINK (PA-C) – Physician Assistant, NPI 1386528586
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for MICAH KENNETH LINK (PA-C)
4181 108th Ave NE
Blaine, MN 554497439
Phone: (612) 444-3247
Fax: (612) 888-9247
Type: Location
2480 WHITE BEAR AVE N STE 104
MAPLEWOOD, MN 551094568
Phone: (612) 444-3247
Fax: (612) 888-9247
Type: Mailing
12940 Harriet Ave S Ste 220
Burnsville, MN 553372794
Phone: (612) 444-3247
Fax: (612) 888-9247
Type: Location
8325 City Centre Dr Ste 140
Woodbury, MN 551253323
Phone: (612) 444-3247
Fax: (612) 888-9247
Type: Location
12450 Wayzata Blvd Ste 317
Minnetonka, MN 553052205
Phone: (612) 444-3247
Fax: (612) 888-9247
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-12-04
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 |
|---|---|---|---|---|
| I20250922002046 | I | Physician Assistant | MN | TBD |
| I20251204001299 | I | Physician Assistant | WI | 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 55449)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| - | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN |
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