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KELLY DIANA DECKARD FNP
NPI 1245668623
Nurse Practitioner - Pediatrics in Phoenix, AZ

Active since October 23, 2013PECOS Enrolled
2120 N CENTRAL AVE, PHOENIX, AZ 85004(602) 933-6100(602) 933-2422 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2024, Aug 29, 2023, Aug 30, 2022 and 1 more (4 updates tracked since 2020).

About Kelly Diana Deckard Fnp NPPES

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

KELLY DIANA DECKARD FNP (NPI 1245668623) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (274000) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245668623
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKELLY DIANA DECKARDCredential: FNP
Location Address2120 N CENTRAL AVEPhoenix, AZ 85004-1455
Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (602) 933-1813
Phone(602) 933-6100
Fax(602) 933-2422
Sole ProprietorNo
Enumeration DateOctober 23, 2013
Last NPPES UpdateJune 21, 20244 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1245668623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in AZ · 274000
2120 N CENTRAL AVE, Phoenix, AZ 85004
Open in Google Maps ↗

Other Identifiers 1

Medicaid158847AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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)

Kelly Diana Deckard Fnp 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 85004 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 12

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

ERICA CARBERRY MA LAC
Counselor (Mental Health)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Maricopa County (602) 271-4500
MR. CHRISTOPHER KECK LAC
Counselor
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Maricopa County (602) 271-4500
MARIA CRISTINA DEL ROSARIO ALDANA SIERRA M.D.
Pediatrics (Child Abuse Pediatrics)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Maricopa County (029) 336-6100
CHILDHELP, INC.
Community/Behavioral Health
2120 N CENTRAL AVE, SUITE 130
PHOENIX, AZ 85004
Maricopa County (602) 271-4500
KIM A YEAKEL PNP
Nurse Practitioner (Pediatrics)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Maricopa County (602) 933-6100
LORA COGLIANI LAC
Counselor (Mental Health)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Maricopa County (602) 271-4500
MS. CYNTHIA A NELSON PNP
Nurse Practitioner (Pediatrics)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Maricopa County (602) 933-6100
CATHY BOYLE PNP
Nurse Practitioner (Pediatrics)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Maricopa County (602) 933-6100

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 Kelly Deckard's NPI number?

The NPI number for Kelly Deckard is 1245668623. It was assigned to this individual provider in the NPPES registry on October 23, 2013.

Where is Kelly Deckard located?

Kelly Deckard practices at 2120 N Central Ave, Phoenix, AZ 85004. The listed phone number is (602) 933-6100.

What is Kelly Deckard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kelly Deckard enrolled in Medicare?

Yes. Kelly Deckard is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Deckard accept?

Health plans from Medica list Kelly Deckard 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 Kelly Deckard was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.