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

Luis Felipe Camacho

Individual provider Family Nurse Practitioner · NPI 1104418458

Luis Felipe Camacho is a Nurse Practitioner in Liberal, Kansas. Qualified in 2023, 3 years ago. Practices with Southwest Medical Center, a 62-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
3
Licensed in
KS
In the registry since
2021

Practice location Address checks out

305 W 15th St Ste 102
Liberal, KS 67901-2455
Phone: (620) 417-7578
Fax: (680) 417-7577
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 82969 (KS)

Record details

NPI number1104418458
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 8, 2021
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024
Mailing address315 W 15th St, Liberal, KS 67901-2455

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Southwest Medical Center — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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