RYAN GREGORY RESEBURG PMHNP
NPI 1275368474
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR
About Ryan Gregory Reseburg Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN GREGORY RESEBURG PMHNP (NPI 1275368474) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (10032073) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ryan Gregory Reseburg Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PORTLAND, OR 97225
PORTLAND, OR 97225
PORTLAND, OR 97225
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ryan Reseburg's NPI number?
The NPI number for Ryan Reseburg is 1275368474. It was assigned to this individual provider in the NPPES registry on September 6, 2024.
Where is Ryan Reseburg located?
Ryan Reseburg practices at 10300 SW Eastridge St, Portland, OR 97225. The listed phone number is (503) 944-5000.
What is Ryan Reseburg's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Ryan Reseburg enrolled in Medicare?
Yes. Ryan Reseburg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Ryan Reseburg was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Ryan Gregory Reseburg, PMHNP · NPI 1275368474
Psychiatric/Mental Health physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since September 6, 2024.
## Identity
- **NPI:** 1275368474 (Entity type: Individual)
- **Enumerated:** September 6, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 10032073 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10300 SW EASTRIDGE ST, Portland, OR 97225-5004
- **Phone:** (503) 944-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1275368474) · Data from the CMS NPPES public registry.