ALYSSA DECKER DO
NPI 1104447218
Pediatrics in Maplewood, MN

Active since April 29, 2020PECOS Enrolled
2165 WHITE BEAR AVE N, MAPLEWOOD, MN 55109(651) 523-9800 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alyssa Decker Do NPPES

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

ALYSSA DECKER DO (NPI 1104447218) is an individual pediatrics provider in Maplewood, Minnesota, licensed in Minnesota (74929) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1104447218
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameALYSSA DECKERCredential: DO
Location Address2165 WHITE BEAR AVE NMaplewood, MN 55109-2707
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001
Sole ProprietorNo
Enumeration DateApril 29, 2020
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedDecember 14, 2020
NPI 1104447218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in MN · 74929 Licensed in IL · 125.075864
Definition
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.
2165 WHITE BEAR AVE N, Maplewood, MN 55109

Secondary Practice Location 1

Location 1530 NE Glen Oak AvePeoria, IL 61637-0001 · Phone (503) 307-4888

Accepted 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)

Alyssa Decker Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Nurse Practitioner (Gerontology)
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Dentist (General Practice)
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Internal Medicine
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
General Practice
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Pharmacist
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Family Medicine
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Pediatrics
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Nurse Practitioner (Family)
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109

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 Alyssa Decker's NPI number?

The NPI number for Alyssa Decker is 1104447218. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Alyssa Decker located?

Alyssa Decker practices at 2165 White Bear Ave N, Maplewood, MN 55109. The listed phone number is (651) 523-9800.

What is Alyssa Decker's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Alyssa Decker enrolled in Medicare?

Yes. Alyssa Decker is registered in the Medicare PECOS enrollment system.

What insurance does Alyssa Decker accept?

Health plans from HealthPartners and Medica list Alyssa Decker 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 Alyssa Decker was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.