Individual provider Active NPI

Melissa Rayne Heider Braun, PNP

  • Pediatric Nurse Practitioner
  • Portland, OR
National Provider Identifier
1831815109
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
202200910NP-PP Issued in OR
Practice address
2226 NW Pettygrove St Ste 161
Portland, OR 97210-2608
Phone
(503) 297-1078
Fax
(503) 292-2176
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 202200910NP-PP OR
Pediatric Nurse Practitioner 363LP0200X 202200910NP-PP OR Primary

Addresses

Primary practice location

2226 NW Pettygrove St Ste 161
Portland, OR 97210-2608

Mailing address

9135 SW Barnes Rd Ste 663
Portland, OR 97225-6683
Phone (503) 297-1078

Other practice location 1

501 N Graham St Ste 585
Portland, OR 97227-1654
Phone (503) 413-3690

Other names 1

  • Melissa Heider Former name

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
I20251119003176 OR Practitioner - Nurse Practitioner 2567953359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1919 NW Lovejoy St
Portland, OR 97209-1503

2850 NW 31St Ave
Portland, OR 97210-1720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202200910NP-PPORMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Emanuel Hospital & Health Center CurrentSince Nov 12, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Nov 12, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Northwest Urology, LLC PastSince Aug 5, 2019 Accepting new patients

Locations

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

501 N Graham St
Ste 585
Portland, OR 97227
Phone (503) 413-3690

Interoperability endpoints

  • Direct secure messaging: melissa.braun.1@11085.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1831815109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 SW BARNES RD STE 663",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256683",
            "telephone_number": "503-297-1078",
            "fax_number": "503-292-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 NW PETTYGROVE ST STE 161",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102608",
            "telephone_number": "503-297-1078",
            "fax_number": "503-292-2176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Graham St Ste 585",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271654",
            "country_code": "US",
            "telephone_number": "503-413-3690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "MELISSA",
        "middle_name": "RAYNE HEIDER",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OR",
            "license": "202200910NP-PP",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "202200910NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "HEIDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.