Jose Luis Renteria, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

53-76710-092 Issued in KS

Practice address

1905 19TH St
Great Bend, KS 67530-2502

Phone

(620) 792-5700

NPI assigned

Mar 11, 2015

Last updated

Mar 16, 2015By the provider in NPPES

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 KS, NE2 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

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phillips County HospitalGroup PAC ID 7012231251, shared by 4 NPIs, 11 clinicians

Rooks County Health CenterGroup PAC ID 8325959331, 40 clinicians

Great Plains of Cheyenne Co IncGroup PAC ID 7517958523, shared by 5 NPIs, 10 clinicians

Great Plains of Ellinwood IncGroup PAC ID 5092627539, shared by 3 NPIs, 13 clinicians

Trego County Lemke Memorial HospitalGroup PAC ID 6103735717, shared by 5 NPIs, 19 clinicians

Ashland District HospitalGroup PAC ID 6800849324, shared by 4 NPIs, 13 clinicians

Rawlins County Health CenterGroup PAC ID 4688585151, shared by 4 NPIs, 9 clinicians

Hodgeman County Health CenterGroup PAC ID 5799696894, shared by 3 NPIs, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• L & C Home Health Agency Inc Home health agency, Colby, KS, CCN 178055
• Hodgeman County Health Center Hospital, Jetmore, KS, CCN 171369
• Rawlins County Health Center Hospital, Atwood, KS, CCN 171307
• Phillips County Hospital Hospital, Phillipsburg, KS, CCN 171353
• Ellinwood District Hospital Hospital, Ellinwood, KS, CCN 171301
• Cheyenne County Hospital Hospital, St Francis, KS, CCN 171310
• Hodgeman County Health Center Nursing home, CCN 17Z369
• Rawlins County Health Center Nursing home, CCN 17Z307

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13372/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/15770/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-myrecord.cerner.com/r4/88f6f0ad-680b-460f-ba7c-9dd496dece04/
• Direct secure messaging: jose.renteria.1@13372.direct.athenahealth.com
• Direct secure messaging: jose.renteria.1@15770.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rooks County Health Center

  dba Docs Without Delay

  • Family Medicine Physician
  • Plainville, KS
  • NPI 1841570298
  Medicare reassignment Care Compare group NPD
• Ashland District Hospital

  dba Ashland Health Center-Clinic

  • Clinic/Center
  • Ashland, KS
  • NPI 1073686002
  Medicare reassignment NPD
• Ashland District Hospital

  • Critical Access Hospital
  • Ashland, KS
  • NPI 1265529614
  Medicare reassignment NPD
• Great Plains of Cheyenne Co Inc

  dba Cheyenne County Clinic

  • Rural Health Clinic/Center
  • Saint Francis, KS
  • NPI 1982644936
  Medicare reassignment NPD
• Great Plains of Cheyenne Co. Inc

  dba Cheyenne County Hospital

  • Critical Access Hospital
  • Saint Francis, KS
  • NPI 1992736458
  Medicare reassignment NPD
• Great Plains of Ellinwood Inc.

  dba Ellinwood Hospital Clinic

  • Rural Health Clinic/Center
  • Ellinwood, KS
  • NPI 1225040256
  Medicare reassignment NPD
• Great Plains of Ellinwood Inc.

  dba Ellinwood District Hospital

  • Critical Access Hospital
  • Ellinwood, KS
  • NPI 1578676409
  Medicare reassignment NPD
• Hodgeman County Health Center

  • Critical Access Hospital
  • Jetmore, KS
  • NPI 1821098252
  Medicare reassignment NPD
• Hospital District No 6 of Harper County Kansas

  dba Patterson Health Center

  • Critical Access Hospital
  • Anthony, KS
  • NPI 1467427674
  Medicare reassignment NPD
• Lincoln County Hospital

  dba Lincoln Medical Clinic

  • Rural Health Clinic/Center
  • Lincoln, KS
  • NPI 1841248952
  Medicare reassignment NPD
• Lincoln County Hospital

  • Critical Access Hospital
  • Lincoln, KS
  • NPI 1942265327
  Medicare reassignment NPD
• Minneola District Hospital NBR 2

  • Critical Access Hospital
  • Minneola, KS
  • NPI 1013009828
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Great Plains of Cheyenne Co. Inc

  dba Cheyenne County Hospital

  • Critical Access Hospital
  • Saint Francis, KS
  • NPI 1992736458
  Care Compare affiliation
• Great Plains of Ellinwood Inc.

  dba Ellinwood District Hospital

  • Critical Access Hospital
  • Ellinwood, KS
  • NPI 1578676409
  Care Compare affiliation
• Hodgeman County Health Center

  • Critical Access Hospital
  • Jetmore, KS
  • NPI 1093821514

  Nursing home

  Care Compare affiliation
• Hodgeman County Health Center

  • Critical Access Hospital
  • Jetmore, KS
  • NPI 1821098252
  Care Compare affiliation
• L & C Home Health Agency Inc

  • Home Health Agency
  • Colby, KS
  • NPI 1285635714
  Care Compare affiliation
• Phillips County Hospital

  • Critical Access Hospital
  • Phillipsburg, KS
  • NPI 1639268246
  Care Compare affiliation
• Phillips County Hospital

  • Surgery Physician
  • Phillipsburg, KS
  • NPI 1659922292

  Hospital

  Care Compare affiliation
• Rawlins County Health Center

  • Medicare Defined Swing Bed Hospital Unit
  • Atwood, KS
  • NPI 1346275328

  Nursing home

  Care Compare affiliation
• Rawlins County Health Center

  • Critical Access Hospital
  • Atwood, KS
  • NPI 1942257431
  Care Compare affiliation

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1053704361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 ODELL ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302419",
            "telephone_number": "620-786-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 19TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302502",
            "telephone_number": "620-792-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTERIA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KS",
            "license": "53-76710-092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett T Rebel, CRNA
• Mary B Reed, LMSW
• Regional Surgical Associates, P.a.
• Randall D Reinhardt, DDS
• Renal Care Group of the Midwest Inc (Renal Care Group Great Bend)
• Rescare Kansas, Inc.
• Elona Faye Revers
• Alison Reynolds, PHARMD
• Summer Rhodes, LMSW
• Toni Rice

• Acute Care Nurse Practitioner in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Acute Care Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.