PATRICIA SUE DECKER APRN
NPI 1306815469
Nurse Practitioner - Primary Care in Mystic, CT

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
28 BROADWAY AVE, MYSTIC, CT 06355(860) 536-9655 Get Directions Write a Review

NPPES record last updated: September 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Patricia Sue Decker Aprn NPPES

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

PATRICIA SUE DECKER APRN (NPI 1306815469) is an individual primary care provider in Mystic, Connecticut, licensed in Connecticut (001837) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1306815469
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NamePATRICIA SUE DECKERCredential: APRN
Location Address28 BROADWAY AVEMystic, CT 06355-2833
Mailing Address20 Bill Hill RdLyme, CT 06371-1150 · (860) 575-1956
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 14, 2006
Last NPPES UpdateSeptember 1, 2025
NPPES CertifiedSeptember 1, 2025
✔ NPI 1306815469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CT · 001837
28 BROADWAY AVE, Mystic, CT 06355

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patricia Sue Decker Aprn 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 ID7810087764
PECOS Enrollment IDI20071217000280
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.

Medicare Billing Reassignments

9

Medicare enrollment records show Patricia Decker reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
210 CHATFIELD ST
Derby, CT 06418
  • Reassigned Medicare billing, Connecticut enrollment
  • 40 clinicians in this Medicare group
Internal Medicine
819 WORCESTER ST, SUITE 3
Springfield, MA 01151
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Ipc Hospitalists Of New England PC
  • 88 clinicians in this Medicare group
Geriatric Medicine
100 CROSSING BLVD STE 300
Framingham, MA 01702
  • Reassigned Medicare billing, Connecticut enrollment
  • 142 clinicians in this Medicare group
Nurse Practitioner
100 CROSSING BLVD
Framingham, MA 01702
  • Reassigned Medicare billing, Connecticut enrollment
  • 149 clinicians in this Medicare group
Geriatric Medicine
1266 E MAIN ST
Stamford, CT 06902
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Careconnectmd Connecticut P.C.
  • 168 clinicians in this Medicare group
Hospitalist
932 BROADWAY
Chelsea, MA 02150
  • Reassigned Medicare billing, Connecticut enrollment
  • 40 clinicians in this Medicare group
Nurse Practitioner
6700 ALEXANDER BELL DR STE 200
Columbia, MD 21046
  • Reassigned Medicare billing, Connecticut enrollment
  • 135 clinicians in this Medicare group
Hospitalist
30 NORTH PL
Frederick, MD 21701
  • Reassigned Medicare billing, Connecticut enrollment
  • 32 clinicians in this Medicare group
Hospitalist
17000 MEDICAL CENTER DR
Baton Rouge, LA 70816
  • Reassigned Medicare billing, Connecticut enrollment
  • 127 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
414 services75 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
63 services35 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06355 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%241 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Occupational Therapist
28 BROADWAY AVE
MYSTIC, CT 06355

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 Patricia Decker's NPI number?

The NPI number for Patricia Decker is 1306815469. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Patricia Decker located?

Patricia Decker practices at 28 Broadway Ave, Mystic, CT 06355. The listed phone number is (860) 536-9655.

What is Patricia Decker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Patricia Decker enrolled in Medicare?

Yes. Patricia Decker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Patricia Decker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Decker reassigns Medicare benefits to 9 organizations: Connecticut Post Acute Medical Services 1 PC (Derby, CT), Ipc Hospitalists Of New England, P.C. (Springfield, MA), Value Based Long Term Care H PC (Framingham, MA), Hdc Care Solutions, LLC (Framingham, MA), Careconnectmd Connecticut PC (Stamford, CT) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patricia Decker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricia Decker accept?

Health plans from Anthem Blue Cross and Blue Shield list Patricia 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 Patricia Decker was last updated on September 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.