DECORUM HEALTH SERVICES
NPI 1629699913
Nurse Practitioner - Gerontology in Salem, VA

Active since April 28, 2020
3615 W MAIN ST, SALEM, VA 24153(540) 378-9772 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Decorum Health Services NPPES

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

DECORUM HEALTH SERVICES (NPI 1629699913) is a healthcare organization registered as a gerontology in Salem, Virginia and active in the NPI registry since April 2020. The organization maintains a secondary practice location in Rich Creek and lists Tracy L Zikes, Authorized Official President, as its authorized official.

NPPES Registry Identity

NPI1629699913
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameDECORUM HEALTH SERVICES
Location Address3615 W MAIN STSalem, VA 24153-1961
Mailing AddressPo Box 31494Henrico, VA 23294-1494 · (540) 392-3699
Organization SubpartNo
Authorized OfficialTracy L ZikesAuthorized Official President · (540) 392-3699
Enumeration DateApril 28, 2020
Last NPPES UpdateMarch 7, 2023
NPPES CertifiedApril 28, 2020
✔ NPI 1629699913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
3615 W MAIN ST, Salem, VA 24153

Secondary Practice Location 1

Location 1120 Old Virginia AveRich Creek, VA 24147-9669 · Phone (540) 726-2328

Other Identifiers 1

Other0024172938VA · Medical License Virginia

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Decorum Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Decorum Health Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1821467820
120 OLD VIRGINIA AVE
Rich Creek, VA 24147
(540) 726-2328
✔ PECOS✔ Accepts Medicare39 mi

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

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 Decorum Health Services's NPI number?

The NPI number for Decorum Health Services is 1629699913. It was assigned to this organization in the NPPES registry on April 28, 2020.

Where is Decorum Health Services located?

Decorum Health Services is located at 3615 W Main St, Salem, VA 24153. The listed phone number is (540) 378-9772.

What is Decorum Health Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Decorum Health Services enrolled in Medicare?

Yes. Decorum Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Decorum Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Decorum Health Services. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Decorum Health Services was last updated on March 7, 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.