Micah Kenneth Link, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15425 Issued in MN

Practice address

2480 White Bear Ave N Ste 104
Maplewood, MN 55109-4568

Phone

(612) 444-3247

Fax

(612) 888-9247

NPI assigned

Aug 1, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baldwin Area Medical Center IncGroup PAC ID 7911800586, 88 clinicians

Allergy and Asthma Center of Minnesota PLLCGroup PAC ID 1456575695, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mlink747846@excellian.direct.allina.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baldwin Area Medical Center, Inc.

  • Critical Access Hospital
  • Baldwin, WI
  • NPI 1467496133
  Medicare reassignment Care Compare group NPD
• Allergy and Asthma Center of Minnesota PLLC

  • Allergy & Immunology Physician
  • Maplewood, MN
  • NPI 1770900797
  Medicare reassignment Care Compare group
• Baldwin Area Medical Center Inc.

  • Clinic/Center
  • Spring Valley, WI
  • NPI 1164272324
  NPD
• Baldwin Area Medical Center, Inc.

  • Rural Health Clinic/Center
  • Baldwin, WI
  • NPI 1336228865
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1386528586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 WHITE BEAR AVE N STE 104",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094568",
            "telephone_number": "612-444-3247",
            "fax_number": "612-888-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 WHITE BEAR AVE N STE 104",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094568",
            "telephone_number": "612-444-3247",
            "fax_number": "612-888-9247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4181 108th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554497439",
            "country_code": "US",
            "telephone_number": "612-444-3247",
            "fax_number": "612-888-9247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12940 Harriet Ave S Ste 220",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553372794",
            "country_code": "US",
            "telephone_number": "612-444-3247",
            "fax_number": "612-888-9247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8325 City Centre Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551253323",
            "country_code": "US",
            "telephone_number": "612-444-3247",
            "fax_number": "612-888-9247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12450 Wayzata Blvd Ste 317",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553052205",
            "country_code": "US",
            "telephone_number": "612-444-3247",
            "fax_number": "612-888-9247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINK",
        "first_name": "MICAH",
        "middle_name": "KENNETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "15425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.