BREJON HARRIS – Psychiatric/Mental Health Nurse Practitioner, NPI 1548623937
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for BREJON HARRIS
1225 W 190TH ST STE 280
GARDENA, CA 902484305
Phone: (310) 515-8113
Type: Mailing
20431, Campaign Drive, Carson, Los Angeles County, California, 90746, United States
APT 12E
CARSON, CA 907463411
Phone:
Type: Mailing
16500, Ventura Boulevard, Encino, Los Angeles, Los Angeles County, California, 91436, United States
SUITE 414
ENCINO, CA 914362011
Phone: (818) 616-5013
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $379.
Total Amount is formed as General ($379) + Research ($0) + Ownership ($0) = $379.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($260).
Total Amount
$379
General + Research + Ownership
Payments
4
Total payment records
General Amount
$379
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $260 |
| Otsuka America Pharmaceutical, Inc. | $118 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-05-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230516002453 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 90248)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Clinical Social Worker | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| General Practice | CA | |
| Clinical Social Worker | CA | |
| Nurse Practitioner | OR | |
| General Practice | CA | |
| Internal Medicine | CA |
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