Rena Apon, CRNA, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI 1780914788 · NPPES record last updated Feb 23, 2026
Key facts
- NPI
- 1780914788
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 202211131NP-PP (OR)
- Practice address
- 7412 SW Beaverton Hillsdale Hwy Ste 106
Portland, OR 97225-2167 - Phone
- (503) 530-8521
- Fax
- (866) 573-0890
- NPI assigned
- Jan 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7412 SW Beaverton Hillsdale Hwy
Suite 106
Portland, OR 97225-2167
Phone (503) 530-8521
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110214000321 | OR | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6204964679 | Reassigns benefits to 1 organization |
| I20231222003222 | OR | Practitioner - Nurse Practitioner | 6204964679 | Practice locations: Portland, OR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095000250 | OR | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atomic Mindworks, LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Anesthetic Solutions, Inc | Single Specialty | Current |
Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
12150 SW 1st St
Beaverton, OR 97005
Phone (503) 530-8521
1333 E Barnett Rd
Medford, OR 97504
Phone (541) 779-4711
7412 SW Beaverton Hillsdale Hwy
Ste 106
Portland, OR 97225
Phone (503) 530-8521
12050 SE Stevens Rd
Ste 400
Portland, OR 97086
Phone (971) 206-6100
13240 SW Pacific Hwy
Tigard, OR 97223
Phone (503) 639-6571
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | 202211131NP-PP | OR | Yes |
| Certified Registered Nurse Anesthetist | 367500000X | 98232 | OK | |
| Certified Registered Nurse Anesthetist | 367500000X | 201060015CRNA | OR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 095000250 | OR |
Addresses
Primary practice location
7412 SW Beaverton Hillsdale Hwy Ste 106
Portland, OR 97225-2167
Mailing address
7412 SW Beaverton Hillsdale Hwy Ste 106
Portland, OR 97225-2167
Phone (503) 530-8521
Other providers in Portland, OR
- Christina Aplet
- Stefanie Piekutowski Apmadoc
- Christie Apodaca
- Jessica Apodaca
- Mariah Eileen Apolito
- Jennifer E Aponte
- George Apostolopoulos
- Anna L Apostolou-Keith
- Richard Joseph App
- Alexandra Appel
All providers in Portland, OR · Psychiatric/Mental Health Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.