Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ROBERT DECOLLI III CRNP
NPI 1558993279
Nurse Practitioner - Acute Care in Memphis, TN

Q: What is Robert Decolli's NPI number?

The NPI number for Robert Decolli is 1558993279. It was assigned to this individual provider in the NPPES registry on February 11, 2020.

Q: What is Robert Decolli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Robert Decolli was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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 February 11, 2020PECOS Enrolled

1211 UNION AVE STE 965, MEMPHIS, TN 38104(901) 435-8550(901) 478-0781 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2026, Nov 15, 2023, Feb 11, 2020 (3 updates tracked since 2020).

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About Robert Decolli Iii Crnp NPPES

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

ROBERT DECOLLI III CRNP (NPI 1558993279) is an individual acute care provider in Memphis, Tennessee, licensed in Tennessee (31566) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with Methodist Healthcare - Olive Branch Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1558993279

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameROBERT DECOLLI IIICredential: CRNP

Location Address1211 UNION AVE STE 965Memphis, TN 38104-6638

Mailing Address1211 Union Ave Ste 330Memphis, TN 38104-6655

Phone(901) 435-8550

Fax(901) 478-0781

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 11, 2020

Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1558993279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TN · 31566

Also ListedNurse PractitionerTaxonomy 363L00000X · License SP021499 (PA), 906328 (MS)

1211 UNION AVE STE 965, Memphis, TN 38104

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Secondary Practice Locations 5

Location 13725 Champion Hills Dr Ste 2000Memphis, TN 38125-2510 · Phone (901) 763-0200 · Fax (901) 478-0781

Location 21251 Wesley Dr Ste 100Memphis, TN 38116-6442 · Phone (901) 435-8550 · Fax (901) 395-2621

Location 31265 Union AveMemphis, TN 38104-3415 · Phone (901) 516-2362 · Fax (901) 516-8254

Location 41938 Crescent Meadows DrHolly Springs, MS 38635-7419 · Phone (901) 435-8550 · Fax (901) 478-0781

Location 57460 Wolf River BlvdGermantown, TN 38138-1760 · Phone (901) 763-0200 · Fax (901) 761-4002

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Robert Decolli Iii Crnp 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 ID4880022771

PECOS Enrollment IDI20220629003209, I20240104002647

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

28 services26 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Methodist Healthcare - Olive Branch Hospital

Acute Care Hospitals · Olive Branch, MS

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250167

Location4250 Bethel RoadOlive Branch, MS 38654 · De Soto County

Emergency services Birthing friendly

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440049

Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$66.56 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers20 claims20 services$21.42 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers15 claims15 services$116.53 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. ERICHA MORGAN BRAUER HANNAHAN DNP, APRN, FNP-C

Nurse Practitioner (Family)