KASAUNDRA M DECKER CRNA
NPI 1104412816
Nurse Anesthetist, Certified Registered in Dekalb, IL

Q: What is Kasaundra Decker's NPI number?

The NPI number for Kasaundra Decker is 1104412816. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Q: What is Kasaundra Decker's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Kasaundra Decker was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 December 16, 2020Accepts Medicare Assignment

80.06/100

CMS Quality Rating

1 KISH HOSPITAL DR, DEKALB, IL 60115(815) 756-1521(815) 766-9647 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2025, May 10, 2022, Jan 11, 2021 and 1 more (4 updates tracked since 2020).

On this page

About Kasaundra M Decker Crna NPPES

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

KASAUNDRA M DECKER CRNA (NPI 1104412816) is an individual nurse anesthetist, certified registered in Dekalb, Illinois, licensed in Illinois (209032651) and active in the NPI registry since December 2020. She is affiliated with Northwestern Medicine Kishwaukee Hospital and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104412816

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameKASAUNDRA M DECKERCredential: CRNA

Location Address1 KISH HOSPITAL DRDekalb, IL 60115-9602

Mailing Address1 Kish Hospital DrDekalb, IL 60115-9602 · (815) 756-1521 · Fax (815) 766-9647

Phone(815) 756-1521

Fax(815) 766-9647

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 16, 2020

Last NPPES UpdateOctober 27, 20254 updates tracked since enumeration

NPPES CertifiedOctober 27, 2025

✔ NPI 1104412816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in IL · 209032651✔ Licensed in NM · 67807✔ Licensed in NC · 6548

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 8655343-3102 (UT)

1 KISH HOSPITAL DR, Dekalb, IL 60115

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan of North Carolina, Inc.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

Kasaundra M Decker Crna 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 ID7416361456

PECOS Enrollment IDI20210202002266, I20250812000564, I20251120001625

Hospital Affiliations CMS Care Compare 3

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

Northwestern Medicine Kishwaukee Hospital

Acute Care Hospitals · Dekalb, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140286

LocationOne Kish Hospital DriveDekalb, IL 60115 · De Kalb County

Emergency services Birthing friendly

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340001

Location920 Church St NConcord, NC 28025 · Cabarrus County

Emergency services Birthing friendly

Copley Hospital

Critical Access Hospitals · Morrisville, VT

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number471305

Location528 Washington HighwayMorrisville, VT 05661 · Lamoille County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60115 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

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.

80.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.54

Improvement Activities

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.

BRENDA GILBERT

Physical Therapy Assistant