Donald Michael Harrison Jr., NP

Key facts

NPI: 1831814581
Entity type: Individual (NPI type 1)
Primary specialty: Acute Care Nurse Practitioner 363LA2100X
License: 95022866 (CA)
Practice address: 7675 N 1St St Apt 127
Fresno, CA 93720-0977
Phone: (310) 801-5974
NPI assigned: Oct 5, 2022
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Pulmonary & Critical Care Associates of Modesto Inc Pulmonary Disease Physician · Modesto, CA · NPI 1669849394

Medicare reassignment CA

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2022
Medicare assignment: May accept Medicare assignment

Practice addresses (Care Compare)

1700 McHenry Ave
Suite 65B
Modesto, CA 95350-4331

220 Standiford Ave
Modesto, CA 95350-1100

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20260507004374	CA	Practitioner - Nurse Practitioner	5698243616	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
95022866	CA	MD	Acute Care Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Acute Care Nurse Practitioner	363LA2100X	95022866	CA	Yes

Addresses

Primary practice location

7675 N 1St St Apt 127
Fresno, CA 93720-0977

Mailing address

7675 N 1St St Apt 127
Fresno, CA 93720-0977
Phone (310) 801-5974

Other providers in Fresno, CA

All providers in Fresno, CA · Acute Care Nurse Practitioner in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.