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REPERIO HEALTH, INC.
NPI 1740066950
Nurse Practitioner in Portland, OR

Active since September 04, 2023CLIA 16D2344942 · Waiver
4784 SE 17TH AVE STE 120, PORTLAND, OR 97202(844) 504-0402(503) 296-5806 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 30, 2023, Sep 4, 2023 (2 updates tracked since 2023).

About Reperio Health, Inc. NPPES

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

REPERIO HEALTH, INC. (NPI 1740066950) is a healthcare organization registered as a nurse practitioner in Portland, Oregon and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through June 1, 2028 and lists Travis Benjamin Rush, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740066950
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameREPERIO HEALTH, INC.
Location Address4784 SE 17TH AVE STE 120Portland, OR 97202-4715
Mailing Address4784 Se 17th Ave Ste 120Portland, OR 97202-4715 · (844) 504-0402 · Fax (503) 296-5806
Phone(844) 504-0402
Fax(503) 296-5806
Organization SubpartNo
Authorized OfficialTravis Benjamin RushCeo · (503) 522-8024
Enumeration DateSeptember 4, 2023
Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1740066950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4784 SE 17TH AVE STE 120, Portland, OR 97202
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Other Names 1

Doing Business AsReperio Health, Inc.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2344942

Reperio Health Medical Group, PLLC · West Des Moines, IA
Active · expires Jun 1, 2028
CLIA Number16D2344942
Laboratory TypeHome Health Agency
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorTravis B. Rush
Laboratory Phone(844) 504-0402
Laboratory LocationReperio Health Medical Group, PLLC1501 42nd St Ste 440, West Des Moines, IA 50266
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Reperio Health, Inc.'s NPI number?

The NPI number for Reperio Health, Inc. is 1740066950. It was assigned to this organization in the NPPES registry on September 4, 2023.

Where is Reperio Health, Inc. located?

Reperio Health, Inc. is located at 4784 SE 17th Ave Ste 120, Portland, OR 97202. The listed phone number is (844) 504-0402.

What is Reperio Health, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Reperio Health, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2344942) is associated with this NPI, valid through June 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Reperio Health, Inc. was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.