MR. VICTOR D HARRELL LMSW, PA-C
NPI 1922409002
Physician Assistant - Medical in Detroit, MI

Q: What is Victor Harrell's NPI number?

The NPI number for Victor Harrell is 1922409002. It was assigned to this individual provider in the NPPES registry on September 9, 2014.

Q: What is Victor Harrell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Victor Harrell was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since September 09, 2014PECOS Enrolled

6001 W OUTER DR STE 207, DETROIT, MI 48235(313) 966-2800(313) 966-7797 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 26, 2022, Jun 23, 2020 (2 updates tracked since 2020).

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About Mr. Victor D Harrell Lmsw, Pa-c NPPES

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

MR. VICTOR D HARRELL LMSW, PA-C (NPI 1922409002) is an individual medical provider in Detroit, Michigan, licensed in Michigan (5601009949) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922409002

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. VICTOR D HARRELLCredential: LMSW, PA-C

Location Address6001 W OUTER DR STE 207Detroit, MI 48235-2626

Mailing Address6001 W Outer Dr Ste 207Detroit, MI 48235-2626 · (313) 966-2800 · Fax (313) 966-7797

Phone(313) 966-2800

Fax(313) 966-7797

Sole ProprietorNo

Enumeration DateSeptember 9, 2014

Last NPPES UpdateApril 23, 20252 updates tracked since enumeration

NPPES CertifiedApril 23, 2025

✔ NPI 1922409002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601009949

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6801090790 (MI)

6001 W OUTER DR STE 207, Detroit, MI 48235

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Victor D Harrell Lmsw, Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

CASSANDRA MONIQUE GILBERT CHW

Community Health Worker

6001 W OUTER DR STE 207
DETROIT, MI 48235

Wayne County (313) 966-2800

MARVIC HEALTH, LLC

Psychiatry & Neurology (Psychiatry)

6001 W OUTER DR STE 207
DETROIT, MI 48235

Wayne County (586) 457-6716

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 Victor Harrell's NPI number?

The NPI number for Victor Harrell is 1922409002. It was assigned to this individual provider in the NPPES registry on September 9, 2014.

Where is Victor Harrell located?

Victor Harrell practices at 6001 W Outer Dr Ste 207, Detroit, MI 48235. The listed phone number is (313) 966-2800.

What is Victor Harrell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Victor Harrell enrolled in Medicare?

Yes. Victor Harrell is registered in the Medicare PECOS enrollment system.

What insurance does Victor Harrell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Victor Harrell 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 Victor Harrell was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.