DR. NADEEN NAZEM HAJAJ (DNP, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104534338

DR. NADEEN NAZEM HAJAJ (DNP, PMHNP-BC) is a healthcare provider. based in Portland, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, PMHNP-BC. They hold a License No. 10052039 (OR). The NPI Number for DR. NADEEN NAZEM HAJAJ (DNP, PMHNP-BC) is 1104534338

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
DR. NADEEN NAZEM HAJAJ (DNP, PMHNP-BC)
NPI
1104534338
Phone
(503) 944-5000
Address
10300 SW EASTRIDGE ST
Enumeration Date
7 November 2022
Last Update Date
26 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5039445000
Graduation Year
2025 (1 year ago)
PAC ID
6305322348
Group Practice PAC ID
4981772639
Professional Enrollment ID
I20260112000801
Address ID
OR972255004PO10300STXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for DR. NADEEN NAZEM HAJAJ (DNP, PMHNP-BC)

  • 10300 SW EASTRIDGE ST

    PORTLAND, OR 972255004

    Phone: (503) 944-5000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-01-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260112000801INurse PractitionerORTBD

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.

Verify on CMS Revalidation Lookup Tool

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 97225)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981772639View full group profile
NameSpecialtyState
P S Y C H I A T R YOR
P S Y C H I A T R YIL
P S Y C H I A T R YOR
Nurse PractitionerIA
P S Y C H I A T R YOR
P S Y C H I A T R YTX
Nurse PractitionerOR
P S Y C H I A T R YOR
Nurse PractitionerOR
Nurse PractitionerTX

Reviews

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Frequently asked questions

What identifier follows DR. NADEEN NAZEM HAJAJ (DNP, PMHNP-BC) across health systems?
The NPI 1104534338 uniquely identifies DR. NADEEN NAZEM HAJAJ (DNP, PMHNP-BC) in U.S. healthcare data.
Does the public listing show DR. NADEEN NAZEM HAJAJ (DNP, PMHNP-BC) as active?
DR. NADEEN NAZEM HAJAJ (DNP, PMHNP-BC)'s NPI record reflects an active status in NPPES.
What type of care does DR. NADEEN NAZEM HAJAJ (DNP, PMHNP-BC) provide?
DR. NADEEN NAZEM HAJAJ (DNP, PMHNP-BC)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is DR. NADEEN NAZEM HAJAJ (DNP, PMHNP-BC) tied to Portland, Oregon?
If you are local to Portland, Oregon, DR. NADEEN NAZEM HAJAJ (DNP, PMHNP-BC) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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