Individual provider Active NPI

Jennifer A Renteria, APRN CPNP-PC

  • Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1497310692
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
141421 Issued in TX
Practice address
10870 Gateway Blvd N Ste B
El Paso, TX 79924-1802
Phone
(915) 751-5245
NPI assigned
May 3, 2019
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 141421 TX Primary
Pediatric Nurse Practitioner 363LP0200X 141421 TX

Addresses

Primary practice location

10870 Gateway Blvd N Ste B
El Paso, TX 79924-1802

Mailing address

10870 Gateway Blvd N Ste B
El Paso, TX 79924-1802
Phone (915) 751-5245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230117002722 TX Practitioner - Nurse Practitioner 9032580782 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
141421TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longhorn Emergency Medical Associates PA Nurse Practitioner CurrentSince Feb 1, 2023 Accepting new patients
Topcare Medical Group Inc PastSince Mar 27, 2022 Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1497310692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10870 GATEWAY BLVD N STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241802",
            "telephone_number": "915-751-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10870 GATEWAY BLVD N STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241802",
            "telephone_number": "915-751-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTERIA",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "141421",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "141421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.