MR. HARRISON H DETROJA MSN, PMHNP-BC
NPI 1154670628
Nurse Practitioner - Psychiatric/Mental Health in Longview, WA

Active since August 30, 2012PECOS EnrolledAccepts Medicare Assignment
720 14TH AVE, LONGVIEW, WA 98632(360) 423-0203(360) 577-0187 Get Directions Write a Review

NPPES record last updated: November 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2024, Jan 21, 2021 (2 updates tracked since 2021).

About Mr. Harrison H Detroja Msn, Pmhnp-bc NPPES

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

MR. HARRISON H DETROJA MSN, PMHNP-BC (NPI 1154670628) is an individual psychiatric/mental health provider in Longview, Washington, licensed in Washington (AP60302056) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1154670628
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. HARRISON H DETROJACredential: MSN, PMHNP-BC
Location Address720 14TH AVELongview, WA 98632-2315
Mailing AddressPo Box 1847Longview, WA 98632-8140 · (360) 423-0203 · Fax (360) 577-0187
Fax(360) 577-0187
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 30, 2012
Last NPPES UpdateNovember 16, 20242 updates tracked since enumeration
NPPES CertifiedNovember 16, 2024
NPI 1154670628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WA · AP60302056
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP60302056 (WA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP60302056 (WA)
720 14TH AVE, Longview, WA 98632

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Harrison H Detroja Msn, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739338245
PECOS Enrollment IDI20121130000424
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
122 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%1,087 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
62%2,116 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
62%2,116 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
94%2,116 patients5/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
26%2,116 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers209 claims209 services$32.55 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
12 suppliers108 claims108 services$88.01 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
12 suppliers111 claims314 services$36.76 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers155 claims805 services$18.92 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers63 claims367 services$13.89 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
11 suppliers183 claims183 services$55.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
720 14TH AVE
LONGVIEW, WA 98632
Registered Nurse
720 14TH AVE
LONGVIEW, WA 98632
Counselor (Mental Health)
720 14TH AVE
LONGVIEW, WA 98632
Counselor
720 14TH AVE
LONGVIEW, WA 98632
Registered Nurse
720 14TH AVE
LONGVIEW, WA 98632
Counselor
720 14TH AVE
LONGVIEW, WA 98632
Nurse's Aide
720 14TH AVE
LONGVIEW, WA 98632
Nurse's Aide
720 14TH AVE
LONGVIEW, WA 98632

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 Harrison Detroja's NPI number?

The NPI number for Harrison Detroja is 1154670628. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Where is Harrison Detroja located?

Harrison Detroja practices at 720 14th Ave, Longview, WA 98632. The listed phone number is (360) 423-0203.

What is Harrison Detroja's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Harrison Detroja enrolled in Medicare?

Yes. Harrison Detroja is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Harrison Detroja accept?

Health plans from Kaiser Permanente, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Harrison Detroja as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Harrison Detroja was last updated on November 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.