Nichelle Cook Renk, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

7443 Issued in AK

Practice address

2000 Abbott Rd Ste A2
Anchorage, AK 99507-3878

Phone

(907) 677-7246

Fax

(907) 677-7245

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Nichelle Anne Cook Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 4, 2020 through May 4, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: nichelle.renk.1@19306.direct.athenahealth.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.

• Giving Hope LLC

  • Pain Medicine (Anesthesiology) Physician
  • Anchorage, AK
  • NPI 1508321639

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1548300205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ABBOTT ROAD",
            "address_2": "UNIT A2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073878",
            "telephone_number": "907-677-7246",
            "fax_number": "907-677-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ABBOTT RD STE A2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073878",
            "telephone_number": "907-677-7246",
            "fax_number": "907-677-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENK",
        "first_name": "NICHELLE",
        "middle_name": "COOK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AK",
            "license": "7443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHELLE",
            "last_name": "COOK",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosalinda Ramona Rempel
• Renal Care Group Alaska, Inc.
• Laura Rendon Londono
• Renee Robertson DMD LLC
• Josiah Renk
• Gloria Renken
• Joel Renna, LCSW
• Rennard Eyecare, LLC
• Craig Donald Rennard, O.D.
• Tyler Renne

• Pain Medicine (Anesthesiology) Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Pain Medicine (Anesthesiology) Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.