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

Krysten Renteria

Individual provider Medical Physician Assistant · NPI 1659154458

Krysten Renteria is a Physician Assistant in Odessa, Texas. Qualified in 2025, 1 year ago. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2023

Practice location Address checks out

405 N Tom Green Ave
Odessa, TX 79761-5145
Phone: (432) 580-8976
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA19687 (TX)

Record details

NPI number1659154458
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2023
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026
Mailing address405 N Tom Green Ave, Odessa, TX 79761-5145

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Odessa