Active NPI
Mayonne Renner, NP-C
- Adult Health Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 10056056
- Practice address
- 501 N Graham St Ste 200
Portland, OR 97227-2000 - Phone
- (503) 413-4710
- NPI assigned
- Nov 11, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 95003389 | CA | |
| Gerontology Nurse Practitioner | 363LG0600X | 29423 | TN | |
| Adult Health Nurse Practitioner | 363LA2200X | 10056056 | OR | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 95003389 | CA |
Addresses
Primary practice location
501 N Graham St Ste 200
Portland, OR 97227-2000
Mailing address
PO Box 3777
Portland, OR 97208-3777
Phone (503) 413-3900
Other names 1
- Mayonne Pollard
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mrenner687658@direct.vumc.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TN
- 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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 20TH Ave N
Nashville, TN 37203-2131
Phone (615) 284-1400
4220 Harding Pike
Nashville, TN 37205-2005
Phone (615) 222-6977
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29423 | TN | MD | Pharmacist |
| 95003389 | CA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Saint Thomas Medical Partners | Current | Accepting new patients | |
| Maury Regional Hospital Marshall Medical Center | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Maury Regional Medical Group, Inc | Current | Accepting new patients |
Locations
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
25845 Barton Rd
Ste F
Loma Linda, CA 92354
Phone (909) 558-2828
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
11370 Anderson St
Ste 2100
Loma Linda, CA 92354
Phone (909) 558-2824
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700
28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000
3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224
44274 George Cushman Ct
Ste 208
Temecula, CA 92592
Phone (951) 501-4200
901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779
1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072
854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779
1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100
300 20th Ave N
Fl 9
Nashville, TN 37203
300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088
301 21st Ave N
Ste 101
Nashville, TN 37203
Phone (615) 329-7878
Interoperability endpoints
- mayonne.renner.p1@direct.caremorewest.nextgenshare.com
- mayonne.renner.1@7654.direct.athenahealth.com
- mrenner269618@direct.llu.edu
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Family Medicine Physician
- Columbia, TN
- NPI 1205886264
-
- Cardiovascular Disease Physician
- Murrieta, CA
- NPI 1427355619
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Rural Health Clinic/Center
- Spring Hill, TN
- NPI 1548889850
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1629025648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1477926517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3777",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083777",
"telephone_number": "503-413-3900",
"fax_number": "503-413-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N GRAHAM ST STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972272000",
"telephone_number": "503-413-4710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENNER",
"first_name": "MAYONNE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-11",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "95003389",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TN",
"license": "29423",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OR",
"license": "10056056",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95003389",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mrenner687658@direct.vumc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Service Provider",
"address_1": "3601 The Vanderbilt Clinic",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372321301",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MAYONNE",
"last_name": "POLLARD",
"credential": "NP-C",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 11, 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.