JOSE LUIS RENTERIA (ACNP) – Acute Care Nurse Practitioner, NPI 1053704361

JOSE LUIS RENTERIA (ACNP) is a healthcare provider. based in Great bend, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP. They hold a License No. 53-76710-092 (KS). The NPI Number for JOSE LUIS RENTERIA (ACNP) is 1053704361

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JOSE LUIS RENTERIA (ACNP)
NPI
1053704361
Phone
(620) 792-5700
Address
1905 19TH ST
Enumeration Date
11 March 2015
Last Update Date
16 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
1951629963
Group Practice PAC ID
6800849324
Professional Enrollment ID
I20210521000577
Address ID
KS678310188ASPOXXXBOXX202
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for JOSE LUIS RENTERIA (ACNP)

  • 1905 19TH ST

    GREAT BEND, KS 675302502

    Phone: (620) 792-5700

    Type: Location

  • 1718 ODELL ST

    GREAT BEND, KS 675302419

    Phone: (620) 786-8783

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-08-01 • Largest payer in this snapshot: ABBVIE INC. ($19).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-05-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150422001832INurse PractitionerKSTBD
I20210521000577INurse PractitionerNETBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes7134$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3732$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2524$0
99238Hospital discharge day management, 30 minutes or less2523$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2319$0
View full utilization report →

Insurance plans in this area (ZIP 67530)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800849324View full group profile
NameSpecialtyState
Family PracticeKS
Physician AssistantKS
Family PracticeKS
Family PracticeKS
Nurse PractitionerKS
Nurse PractitionerKS
Family PracticeKS

Reviews

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Frequently asked questions

What identifier follows JOSE LUIS RENTERIA (ACNP) across health systems?
The NPI 1053704361 uniquely identifies JOSE LUIS RENTERIA (ACNP) in U.S. healthcare data.
Does the public listing show JOSE LUIS RENTERIA (ACNP) as active?
JOSE LUIS RENTERIA (ACNP)'s NPI record reflects an active status in NPPES.
What services align with JOSE LUIS RENTERIA (ACNP)'s listing?
JOSE LUIS RENTERIA (ACNP)'s public classification highlights Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to JOSE LUIS RENTERIA (ACNP)?
The directory associates JOSE LUIS RENTERIA (ACNP) with Great Bend, Kansas. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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