Krysten Renteria

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA19687 Issued in TX

Practice address

405 N Tom Green Ave
Odessa, TX 79761-5145

Phone

(432) 580-8976

NPI assigned

Aug 15, 2023

Sex

Female

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 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

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/abd8726a-ad55-4f85-8206-9ee9deb6ac7b/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Permian Women'S Center, P.a

  • Obstetrics & Gynecology Physician
  • Odessa, TX
  • NPI 1013942861
  Medicare reassignment NPD

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1659154458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N TOM GREEN AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615145",
            "telephone_number": "432-580-9876",
            "fax_number": "432-580-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N TOM GREEN AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615145",
            "telephone_number": "432-580-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTERIA",
        "first_name": "KRYSTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA19687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regency Hospital of Odessa LLLP
• Juliana Marie Reguero, MS.CCC/SLP
• Rehab-Back Care Institute of West Texas
• William G. Reilly, M.D.
• Renal Center of Midland-Odessa, LP, LLLP
• Maria Teresa Renteria, MA; LPC-ASSOCIATE
• Sean M Revell, PHARMD
• Dayanelie Reyes, PA-C
• David Joseph Reynolds
• Reznik Orthodontics, LLP

• Medical Physician Assistant in Odessa, TX
• Providers in Odessa, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.