Active NPI
Andrene Benjamin, PMHNP, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
National Provider Identifier
1164074456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 10031837
- Practice address
- 310 SW 4TH Ave Unit 3-H
Portland, OR 97204-2345 - Phone
- (503) 647-6501
- Fax
- (503) 388-7702
- NPI assigned
- Jul 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10031837 | OR | Primary |
| Family Nurse Practitioner | 363LF0000X | NP95011901 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61632738 | WA |
Addresses
Primary practice location
310 SW 4TH Ave Unit 3-H
Portland, OR 97204-2345
Mailing address
306 Lincoln Rd
Miami Beach, FL 33139-3103
Other practice location 1
1220 Main St Ste 455
Vancouver, WA 98660-2963
Phone (503) 647-6501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Portland, OR 97223
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95011901 | CA | MD | Family Nurse Practitioner |
| AP61632738 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind, P.a. | Psychiatric/Mental Health | Current | Accepting new patients |
| Transcend Mind-Body Wellness, LLC | Psychiatric/Mental Health | Past | Accepting new patients |
| Mindrx, LLC | Past | Accepting new patients |
Locations
10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Portland, OR
- NPI 1235869488
-
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1801765581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1164074456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 LINCOLN RD",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331393103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 SW 4TH AVE UNIT 3-H",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972042345",
"telephone_number": "503-647-6501",
"fax_number": "503-388-7702"
}
],
"practiceLocations": [
{
"address_1": "1220 Main St Ste 455",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986602963",
"country_code": "US",
"telephone_number": "503-647-6501",
"fax_number": "503-388-7702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENJAMIN",
"first_name": "ANDRENE",
"credential": "PMHNP, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "10031837",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95011901",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61632738",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.