RENAE RYKACZEWSKI FNP-C
NPI 1053895110
Nurse Practitioner - Family in Gresham, OR

Q: What is Renae Rykaczewski's NPI number?

The NPI number for Renae Rykaczewski is 1053895110. It was assigned to this individual provider in the NPPES registry on September 24, 2018.

Q: What is Renae Rykaczewski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Renae Rykaczewski was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 24, 2018PECOS Enrolled

600 NE 8TH ST STE 300, GRESHAM, OR 97030(530) 988-5155 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2019, Sep 24, 2018 (2 updates tracked since 2018).

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About Renae Rykaczewski Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENAE RYKACZEWSKI FNP-C (NPI 1053895110) is an individual family provider in Gresham, Oregon, licensed in Oregon (201807432NP-PP) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053895110

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameRENAE RYKACZEWSKICredential: FNP-C

Location Address600 NE 8TH ST STE 300Gresham, OR 97030-7318

Mailing Address6120 N Concord AvePortland, OR 97217-4735 · (323) 580-9119

Phone(530) 988-5155

Sole ProprietorNo

Enumeration DateSeptember 24, 2018

Last NPPES UpdateJuly 1, 20192 updates tracked since enumeration

✔ NPI 1053895110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OR · 201807432NP-PP

600 NE 8TH ST STE 300, Gresham, OR 97030

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Other Identifiers 1

Medicaid1053895110OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renae Rykaczewski Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LUZ MARIA BROUSSEAU LPN

Licensed Practical Nurse