Individual provider Active NPI

Martha Cecilia Reyna, ARNP

  • Family Nurse Practitioner
  • Boardman, OR
National Provider Identifier
1417820135
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10035020 Issued in OR
Practice address
450 Tatone St
Boardman, OR 97818-8076
Phone
(541) 481-7212
NPI assigned
Sep 29, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia River Health 7 clinicians

Practice addresses (Care Compare)

450 Tatone St
Boardman, OR 97818-8076
Phone (541) 481-7212

Hospital & facility affiliations

  • Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251111000637 OR Practitioner - Nurse Practitioner 0941790620 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10035020ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia River Health CurrentSince Oct 20, 2025 Accepting new patients

Locations

450 Tatone St
Boardman, OR 97818
Phone (541) 481-7212

Interoperability endpoints

  • Direct secure messaging: mhurtado771707@direct.ochin.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10035020 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

450 Tatone St
Boardman, OR 97818-8076

Mailing address

PO Box 397
Boardman, OR 97818-0397
Phone (541) 481-7212

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
500865454MedicaidOR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2026.

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1417820135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "BOARDMAN",
            "state": "OR",
            "postal_code": "978180397",
            "telephone_number": "541-481-7212",
            "fax_number": "541-481-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 TATONE ST",
            "city": "BOARDMAN",
            "state": "OR",
            "postal_code": "978188076",
            "telephone_number": "541-481-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNA",
        "first_name": "MARTHA",
        "middle_name": "CECILIA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10035020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500865454",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OR

Sources for this page

Verify at the official NPI Registry.