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

Jose Luis Renteria, ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1053704361

Jose Luis Renteria, ACNP is a Nurse Practitioner in Great Bend, Kansas. Qualified in 2014, 12 years ago. Practices with Phillips County Hospital, a 12-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
12
Licensed in
KS
In the registry since
2015
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

See every abbreviation used in this directory →

Practice location Address checks out

1905 19th St
Great Bend, KS 67530-2502
Phone: (620) 792-5700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 53-76710-092 (KS)

Record details

NPI number1053704361
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNP
Sole proprietorNo
NPI enumeratedMarch 11, 2015
Last updated in NPPESMarch 16, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Phillips County Hospital — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations15 on file with Medicare