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Dr. Alyssa Decker , DO

Pediatrics β€’ Maplewood, MN

Active NPI 1104447218 Individual Practitioner Female Practitioner
Practice location in NPPES

2165 White Bear Ave N
Maplewood, MN 551092707

Call 6515239800 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2165 White Bear Ave N

Maplewood, MN 551092707

Telephone 6515239800
Organization at the Same NPPES Address or Phone
Group Health Plan Inc Facility NPI 1982764809

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Peoria, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Decker has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Decker as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Maplewood and Minnesota

16 active clinicians are listed under Pediatrics with a practice address in Maplewood, MN (1,292 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Maplewood

0% of these 16 clinicians have the CMS telehealth indicator.

6.2% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-12-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MN 74929

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IL 125.075864

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20230816000795

Enrollment State Jurisdiction

MN

PECOS Control ID

4284054388

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

530 Ne Glen Oak Ave

Peoria, IL 616370001

Phone: 5033074888

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

20 listed
Tegist Ayalew , FNP

Nurse Practitioner - Family

NPI 1972991354

Family Nurse Practitioner

Anushree Bhosale

Family Medicine

NPI 1174053144
Andrea Brekke

Social Worker

NPI 1528417490
Dr. Jaclyn Chaffee , MD

Internal Medicine

NPI 1477745198

Doctor of Medicine (M.D.)

Dr. Endea Curry , MD

Internal Medicine

NPI 1073782207

Doctor of Medicine (M.D.)

Linda Ferrario

Family Medicine

NPI 1235198078

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 03, 2023

Registered at 2165 WHITE BEAR AVE N, MAPLEWOOD, MN 551092707 (Tel: 6515239800)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2023

Pediatrics (license number reported to NPPES: MN 74929)

βœ…
NPI Profile Active April 29, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 29, 2020

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 5033074888)

πŸ“
Business Mailing Address (Initial Record) April 29, 2020

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001

πŸ‘€
Provider Name / Credentials (Initial Record) April 29, 2020

Recorded as ALYSSA DECKER, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2020

Pediatrics (license number reported to NPPES: IL 125.075864)

🟒
Initial NPI Registration & Enumeration April 29, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104447218
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2020
Last Update: August 03, 2023
Sole Proprietor: No

Mailing Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.