Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MATTHEW LANE RENNER PA-STUDENT
NPI 1740055912
Physician Assistant in Greeley, CO

Active since November 17, 2023
8225 W 20TH ST, GREELEY, CO 80634(970) 744-0279 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2026, May 5, 2024, Jan 4, 2024 and 1 more (4 updates tracked since 2023).

About Matthew Lane Renner Pa-student NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW LANE RENNER PA-STUDENT (NPI 1740055912) is an individual physician assistant in Greeley, Colorado, licensed in Colorado (PA.0009086) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1740055912
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW LANE RENNERCredential: PA-STUDENT
Location Address8225 W 20TH STGreeley, CO 80634-3037
Mailing Address19 Foster StWorcester, MA 01608-1715 · (970) 744-0279
Sole ProprietorNo
Enumeration DateNovember 17, 2023
Last NPPES UpdateAugust 4, 20264 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
NPI 1740055912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CO · PA.0009086
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8225 W 20TH ST, Greeley, CO 80634

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
8225 W 20TH ST
GREELEY, CO 80634
Internal Medicine (Gastroenterology)
8225 W 20TH ST
GREELEY, CO 80634
Physical Therapy Assistant
8225 W 20TH ST
GREELEY, CO 80634
Physician Assistant (Medical)
8225 W 20TH ST
GREELEY, CO 80634
Internal Medicine (Gastroenterology)
8225 W 20TH ST
GREELEY, CO 80634
Physical Medicine & Rehabilitation
8225 W 20TH ST
GREELEY, CO 80634

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Renner's NPI number?

The NPI number for Matthew Renner is 1740055912. It was assigned to this individual provider in the NPPES registry on November 17, 2023.

Where is Matthew Renner located?

Matthew Renner practices at 8225 W 20th St, Greeley, CO 80634. The listed phone number is (970) 744-0279.

What is Matthew Renner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Matthew Renner was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.