Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mayonne Renner, NP-C

Individual provider Gerontology Nurse Practitioner · NPI 1477926517

Mayonne Renner, NP-C is a Nurse Practitioner in Portland, Oregon. Qualified in 2015, 11 years ago. Practices with Saint Thomas Medical Partners, a 584-clinician group and accepts Medicare assignment. Licensed in California, Oregon and Tennessee.

Years since qualifying
11
Licensed in
CA, OR, TN
In the registry since
2015
Specialties on file
4
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

501 N Graham St Ste 200
Portland, OR 97227-2000
Phone: (503) 413-4710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 10056056 (OR)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 95003389 (CA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 29423 (TN)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 95003389 (CA)

Record details

NPI number1477926517
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedNovember 11, 2015
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Saint Thomas Medical Partners — 584 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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