Individual provider Active NPI

Trelane Pierjok, APRN / ARNP

  • Nurse Practitioner
  • Beaverton, OR
National Provider Identifier
1609284355
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209020155 Issued in IL
Practice address
6800 SW 105TH Ave
Beaverton, OR 97008-5468
Phone
(503) 430-1777
NPI assigned
Jul 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60489776 WA
Nurse Practitioner 363L00000X 209020155 IL Primary
Nurse Practitioner 363L00000X 10034738 OR

Addresses

Primary practice location

6800 SW 105TH Ave
Beaverton, OR 97008-5468

Mailing address

6800 SW 105TH Ave Ste 206
Beaverton, OR 97008-5487
Phone (775) 722-2834

Other practice location 1

201 15th Ave
Seattle, WA 98122
Phone (800) 887-3873

Other practice location 2

201 15th Ave
Seattle, WA 98122
Phone (800) 887-3873

Other practice location 3

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (618) 242-4600

Other practice location 4

2601 Cherry Ave
Ste 213
Bremerton, WA 98310-4203
Phone (360) 479-6041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, IL, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140820001290 WA Practitioner - Nurse Practitioner 0547488389 Reassigns benefits to 1 organization
I20200224001912 IL Practitioner - Nurse Practitioner 0547488389 Reassigns benefits to 2 organizations
I20241220000740 OR Practitioner - Nurse Practitioner 0547488389 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRM Physicians LLCGroup PAC ID 3678720729, 59 clinicians

Practice addresses (Care Compare)

6800 SW 105TH Ave
Beaverton, OR 97008-5468
Phone (503) 430-1777

Hospital & facility affiliations

  • Mid-Columbia Medical Center Hospital, The Dalles, OR, CCN 380001

Merit-based Incentive Payment System (MIPS)

Final score
98.77 of 100Reported as group
Quality
85.58
Promoting interoperability
100
Improvement activities
40
Cost
76.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209020155ILMDNurse Practitioner
10034738ORMDNurse Practitioner
AP60489776WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon CurrentSince Apr 1, 2026 Accepting new patients
CRM Physicians, LLC Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Providence Health & Services Oregon CurrentSince Apr 1, 2026 Accepting new patients
Impact Physician Group, LLC CurrentSince Dec 1, 2024 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Feb 1, 2020 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Feb 1, 2020 Accepting new patients
Providence Health & Services Oregon CurrentSince Apr 1, 2026 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Mar 21, 2016 Accepting new patients
Good Samaritan Regional Health Center CurrentSince Jul 15, 2025 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Mar 21, 2016 Accepting new patients

Locations

21 Eastbrook Bnd
Ste 218
Peachtree Cty, GA 30269
Phone (260) 407-8007

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200

6800 SW 105th Ave
Beaverton, OR 97008

6800 SW 105th Ave
Ste 206
Beaverton, OR 97008

650 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-8588

10300 NE Hancock St
Portland, OR 97220
Phone (503) 257-5500

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

10452 Silverdale Way NW
Silverdale, WA 98383
Phone (360) 307-7300

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: tpierjok346964@direct-ehr-ssmhc.com

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1609284355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 SW 105TH AVE STE 206",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085487",
            "telephone_number": "775-722-2834",
            "fax_number": "503-372-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 SW 105TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085468",
            "telephone_number": "503-430-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 15th Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98122",
            "country_code": "US",
            "telephone_number": "800-887-3873",
            "fax_number": "206-877-0722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 15th Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98122",
            "country_code": "US",
            "telephone_number": "800-887-3873",
            "fax_number": "206-877-0722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Good Samaritan Way",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628642402",
            "country_code": "US",
            "telephone_number": "618-242-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Cherry Ave",
            "address_2": "Ste 213",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983104203",
            "country_code": "US",
            "telephone_number": "360-479-6041",
            "fax_number": "360-405-0768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERJOK",
        "first_name": "TRELANE",
        "credential": "APRN / ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60489776",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209020155",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10034738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.