Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brock Michael Renken

Individual provider Physician Assistant · NPI 1821725615

Brock Michael Renken is a Physician Assistant in Joplin, Missouri. Graduated from University of Oklahoma College of Medicine in 2024, 2 years ago. Practices with Mercy Clinic Joplin LLC, a 295-clinician group and accepts Medicare assignment. Licensed in Kansas, Missouri and Oklahoma.

Years since qualifying
2
Trained at
University of Oklahoma College of Medicine
Licensed in
KS, MO, OK
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

1027 S Main St Ste 202
Joplin, MO 64801-4540
Phone: (417) 624-0050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-03048 (KS)
Physician Assistant Taxonomy 363A00000X · Licence 5478 (OK)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2025006240 (MO)

Record details

NPI number1821725615
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 2, 2022
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address444 Four States Dr Ste 1, Galena, KS 66739-4325

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Mercy Clinic Joplin Llc — 295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Joplin