PAUL A DETRANA NP
NPI 1891230108
Nurse Practitioner - Psychiatric/Mental Health in Fishersville, VA

Active since December 21, 2016PECOS EnrolledAccepts Medicare Assignment
78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939(540) 932-4060(540) 932-4068 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 26, 2024, Dec 21, 2016 (2 updates tracked since 2016).

About Paul A Detrana Np NPPES

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

PAUL A DETRANA NP (NPI 1891230108) is an individual psychiatric/mental health provider in Fishersville, Virginia, licensed in Virginia (0024174260) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS, is affiliated with Augusta Health, and maintains a secondary practice location in Newport News.

NPPES Registry Identity

NPI1891230108
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NamePAUL A DETRANACredential: NP
Location Address78 MEDICAL CENTER DRFishersville, VA 22939-2332
Mailing AddressPo Box 388Fishersville, VA 22939-0388
Fax(540) 932-4068
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 21, 2016
Last NPPES UpdateApril 26, 20242 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1891230108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024174260
78 MEDICAL CENTER DR, Fishersville, VA 22939

Secondary Practice Location 1

Location 1825 Diligence Dr Ste 206Newport News, VA 23606-4272 · Phone (757) 310-6900 · Fax (757) 240-5936

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul A Detrana Np 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 ID1153604384
PECOS Enrollment IDI20170213001582
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Paul Detrana reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
78 MEDICAL CENTER DR
Fishersville, VA 22939
  • Reassigned Medicare billing, Virginia enrollment
  • 434 clinicians in this Medicare group
Psychiatry
825 DILIGENCE DR STE 100
Newport News, VA 23606
  • Reassigned Medicare billing, Virginia enrollment
  • 26 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
123 services19 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Augusta Health

Acute Care Hospitals · Fishersville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490018
Location78 Medical Center DriveFishersville, VA 22939 · Augusta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22939 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

Emergency Medicine
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Student in an Organized Health Care Education/Training Program
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Internal Medicine (Interventional Cardiology)
78 MEDICAL CENTER DR, HEART & VASCULAR CENTER, 2ND FLR
FISHERSVILLE, VA 22939
Psychiatry & Neurology (Psychiatry)
78 MEDICAL CENTER DR, CROSSROADS
FISHERSVILLE, VA 22939
Hospitalist
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Student in an Organized Health Care Education/Training Program
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Anesthesiology
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Anesthesiology
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939

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 Paul Detrana's NPI number?

The NPI number for Paul Detrana is 1891230108. It was assigned to this individual provider in the NPPES registry on December 21, 2016.

Where is Paul Detrana located?

Paul Detrana practices at 78 Medical Center Dr, Fishersville, VA 22939. The listed phone number is (540) 932-4060.

What is Paul Detrana's specialty?

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

Is Paul Detrana enrolled in Medicare?

Yes. Paul Detrana 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.

Which organizations bill Medicare for Paul Detrana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Detrana reassigns Medicare benefits to 2 organizations: Augusta Medical Group (Fishersville, VA) and Coastal Medical And Psychiatric Services Inc. (Newport News, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Detrana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Paul Detrana affiliated with any hospitals?

According to CMS data, Paul Detrana is affiliated with Augusta Health.

When was this NPI record last updated?

The NPPES record for Paul Detrana was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.