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Matthew Lane Renner , PA-STUDENT

Physician Assistant β€’ Greeley, CO

Active NPI 1740055912 Individual Practitioner Male Practitioner
Practice location in NPPES

8225 W 20th St
Greeley, CO 806343037

Call 9707440279 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

8225 W 20th St

Greeley, CO 806343037

Telephone 9707440279
Organization at the Same NPPES Address or Phone
Peak Form Llc Facility NPI 1851113385

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Greeley and Colorado

78 active clinicians are listed under Physician Assistant with a practice address in Greeley, CO (3,767 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Greeley

15.4% of these 78 clinicians have the CMS telehealth indicator.

64.1% of these 78 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-08-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES CO PA.0009086

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Michael Giacopelli , PA-C

Physician Assistant - Medical

NPI 1639695083

Physician Assistant (Certified)

Dr. Ana Huerta Alardin , MD

Internal Medicine - Gastroenterology

NPI 1215198817

Doctor of Medicine (M.D.)

Dr. Maheen Sheikh , MD

Internal Medicine - Gastroenterology

NPI 1144540477

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 04, 2026

Registered at 8225 W 20TH ST, GREELEY, CO 806343037 (Tel: 9707440279)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2026

Physician Assistant (license number reported to NPPES: CO PA.0009086)

πŸ‘€
Provider Name / Credentials Updated May 05, 2024

Recorded as MATTHEW RENNER, PA-STUDENT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2024

Student in an Organized Health Care Education/Training Program

βœ…
NPI Profile Active November 17, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 17, 2023

Registered at 19 FOSTER ST, WORCESTER, MA 016081715 (Tel: 9707440279)

πŸ“
Business Mailing Address (Initial Record) November 17, 2023

Registered at 19 FOSTER ST, WORCESTER, MA 016081715 (Tel: 9707440279)

πŸ‘€
Provider Name / Credentials (Initial Record) November 17, 2023

Recorded as MATTHEW RENNER, STUDENT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2023

Physician Assistant

🟒
Initial NPI Registration & Enumeration November 17, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1740055912
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2023
Last Update: August 04, 2026
Sole Proprietor: No

Other Physician Assistants in Greeley

All Physician Assistants in Greeley

Mailing Address

19 Foster St

Worcester, MA 016081715

Phone: 9707440279

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.