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ALYSSA LAUREN DECATUR NP
NPI 1710759238
Nurse Practitioner - Family in San Diego, CA

Active since October 27, 2023PECOS Enrolled
1737 CHALMERS ST UNIT 101, SAN DIEGO, CA 92103(989) 482-5732 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alyssa Lauren Decatur Np NPPES

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

ALYSSA LAUREN DECATUR NP (NPI 1710759238) is an individual family provider in San Diego, California, licensed in California (95027872) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710759238
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALYSSA LAUREN DECATURCredential: NP
Location Address1737 CHALMERS ST UNIT 101San Diego, CA 92103-4768
Mailing Address1737 Chalmers St Unit 101San Diego, CA 92103-4768 · (989) 482-5732
Phone(989) 482-5732
Sole ProprietorNo
Enumeration DateOctober 27, 2023
NPPES CertifiedOctober 27, 2023
✔ NPI 1710759238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95027872
1737 CHALMERS ST UNIT 101, San Diego, CA 92103
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Lauren Decatur Np 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Alyssa Decatur reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Molina Healthcare Of California
92 mi
Health Maintenance Organization
200 OCEANGATE STE 100
Long Beach, CA 90802
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
NPI 1194811760 (562) 499-6191
Central Health Plan Of California, Inc.
95 mi
Health Maintenance Organization
1540 BRIDGEGATE DR
Diamond Bar, CA 91765
  • Reassigned Medicare billing, California enrollment
  • 283 clinicians in this Medicare group
NPI 1386714772 (626) 388-2390

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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 Decatur's NPI number?

The NPI number for Alyssa Decatur is 1710759238. It was assigned to this individual provider in the NPPES registry on October 27, 2023.

Where is Alyssa Decatur located?

Alyssa Decatur practices at 1737 Chalmers St Unit 101, San Diego, CA 92103. The listed phone number is (989) 482-5732.

What is Alyssa Decatur's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alyssa Decatur enrolled in Medicare?

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

Which organizations bill Medicare for Alyssa Decatur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Decatur reassigns Medicare benefits to 2 organizations: Molina Healthcare Of California (Long Beach, CA) and Central Health Plan Of California, Inc. (Diamond Bar, CA). 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 Alyssa Decatur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alyssa Decatur was last updated on October 27, 2023. 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.