MR. HARRISON H DETROJA (MSN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1154670628

MR. HARRISON H DETROJA (MSN, PMHNP-BC) is a healthcare provider. based in Chehalis, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, PMHNP-BC. They hold a License No. AP60302056 (WA). The NPI Number for MR. HARRISON H DETROJA (MSN, PMHNP-BC) is 1154670628

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. HARRISON H DETROJA (MSN, PMHNP-BC)
NPI
1154670628
Phone
(360) 330-9595
Address
2690 NE KRESKY AVE
Enumeration Date
30 August 2012
Last Update Date
16 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604230396
Graduation Year
2012 (14 years ago)
PAC ID
9739338245
Group Practice PAC ID
2567358286
Professional Enrollment ID
I20121130000424
Address ID
WA986322315LO720XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:13State licenses:1Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for MR. HARRISON H DETROJA (MSN, PMHNP-BC)

  • 2690 NE KRESKY AVE

    VALLEY VIEW HEALTH CENTER

    CHEHALIS, WA 985322412

    Phone: (360) 330-9595

    Fax: (360) 330-9560

    Type: Mailing

  • PO BOX 1847

    LONGVIEW, WA 986328140

    Phone: (360) 423-0203

    Fax: (360) 577-0187

    Type: Mailing

  • 720 14TH AVE

    LONGVIEW, WA 986322315

    Phone: (360) 423-0203

    Fax: (360) 577-0187

    Type: Location

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: 2012-11-30

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
I20121130000424INurse PractitionerWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8430$0
99443Telephone medical discussion with physician, 21-30 minutes5727$0
90837Psychotherapy, 1 hour5511$0
99214Established patient office or other outpatient visit, 30-39 minutes5524$0
View full utilization report →

Insurance plans in this area (ZIP 98532)

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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: 2567358286View full group profile
NameSpecialtyState
Nurse PractitionerWA
Mental Health CounselorOR
Physician AssistantWA
-WA
Clinical Social WorkerWA
Mental Health CounselorWA
Family PracticeWA
P S Y C H I A T R YWA
Mental Health CounselorWA
-WA

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Frequently asked questions

What is MR. HARRISON H DETROJA (MSN, PMHNP-BC)'s NPI number?
MR. HARRISON H DETROJA (MSN, PMHNP-BC)'s NPI is 1154670628 — the number used across U.S. healthcare to identify this provider.
Would MR. HARRISON H DETROJA (MSN, PMHNP-BC) appear as active to a payer?
You can treat MR. HARRISON H DETROJA (MSN, PMHNP-BC) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MR. HARRISON H DETROJA (MSN, PMHNP-BC)'s focus?
For MR. HARRISON H DETROJA (MSN, PMHNP-BC), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MR. HARRISON H DETROJA (MSN, PMHNP-BC) associated with Chehalis?
Public fields place MR. HARRISON H DETROJA (MSN, PMHNP-BC) around Chehalis, Washington. Always confirm the exact site before visiting.
Does MR. HARRISON H DETROJA (MSN, PMHNP-BC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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