Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053895110 Individual Practitioner Female Practitioner

Renae Rykaczewski , FNP-C

Nurse Practitioner - Family • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Renae Rykaczewski, FNP-C is a registered healthcare professional specializing in Nurse Practitioner - Family in Gresham, OR. Practice services are available at 600 NE 8TH ST STE 300 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

600 Ne 8th St Ste 300

Gresham, OR 970307318

Telephone 5309885155

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
42 Specialists

Practicing in Gresham, OR (2410 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License OR 201807432NP-PP

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1053895110 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Luz Brousseau , LPN

Licensed Practical Nurse

NPI 1053615773

Licensed Practical Nurse

Nimritjot Hothi , PA-C

Clinic/Center - Primary Care

NPI 1104667039

Physician Assistant (Certified)

Lacey Hudson

Dental Assistant

NPI 1174140511
Jacqueline Brown

Physician Assistant

NPI 1255052494
Tyler Chipman , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1366812372

Psychiatric-Mental Health Nurse Practitioner

NPI 1386204766

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location July 01, 2019

Registered at 600 NE 8TH ST STE 300, GRESHAM, OR 970307318 (Tel: 5309885155)

NPI Profile Active September 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2018

Registered at 6120 N CONCORD AVE, PORTLAND, OR 972174735 (Tel: 3235809119)

📍
Updated Business Mailing Address September 24, 2018

Registered at 6120 N CONCORD AVE, PORTLAND, OR 972174735 (Tel: 3235809119)

👤
Provider Name / Credentials Updated September 24, 2018

Recorded as RENAE RYKACZEWSKI, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2018

Nurse Practitioner (License #201807432NP-PP in OR)

🟢
Initial NPI Registration & Enumeration September 24, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053895110
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2018
Last Update: July 01, 2019
Sole Proprietor: No

Mailing Address

6120 N Concord Ave

Portland, OR 972174735

Phone: 3235809119

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.