Jordan Rennicke, MD
NPI 1407343767 · Sports Medicine (Family Medicine) Physician · Travis Afb, CA
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan Rennicke, MD is a Sports Medicine (Family Medicine) Physician provider in Travis Afb, CA (NPI 1407343767).
Provider details
- NPI number
- 1407343767
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 32087 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-04-21
- Last updated
- 2024-05-21
- Certified
- 2024-05-21
Frequently asked questions
- What is Jordan Rennicke's NPI number?
- Jordan Rennicke's National Provider Identifier (NPI) is 1407343767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Rennicke's specialty?
- Jordan Rennicke is listed in the NPPES registry with a primary specialty of Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Jordan Rennicke located?
- Jordan Rennicke's practice location on file with NPPES is 101 Bodin Cir, Travis Afb, CA 94535-1809.
- What is Jordan Rennicke's phone number?
- The practice phone number listed in the NPPES registry for Jordan Rennicke is (707) 423-3057.
- Does Jordan Rennicke accept Medicare?
- Jordan Rennicke is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jordan Rennicke's NPI active?
- Yes — Jordan Rennicke's NPI (1407343767) is active in the NPPES registry as of the last update on 2024-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.