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

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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