DECOYA YAHTES BLUE
NPI 1770365397
Nurse Practitioner - Pediatrics in Concord, NC
About Decoya Yahtes Blue NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DECOYA YAHTES BLUE (NPI 1770365397) is an individual pediatrics provider in Concord, North Carolina, licensed in North Carolina (5019014) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Decoya Yahtes Blue is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Decoya Blue reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Concord, NC 28025
- Reassigned Medicare billing, North Carolina enrollment
- 2,057 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Decoya Blue's NPI number?
The NPI number for Decoya Blue is 1770365397. It was assigned to this individual provider in the NPPES registry on October 18, 2023.
Where is Decoya Blue located?
Decoya Blue practices at 66 Lake Concord Rd NE, Concord, NC 28025. The listed phone number is (704) 403-7720.
What is Decoya Blue's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Decoya Blue enrolled in Medicare?
Yes. Decoya Blue is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Decoya Blue's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Decoya Blue reassigns Medicare benefits to Carolinas Physicians Network Inc (Concord, NC). The 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 Decoya Blue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Decoya Blue accept?
Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Decoya Blue 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 Decoya Blue was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Decoya Yahtes Blue · NPI 1770365397
Pediatrics physician in Concord, North Carolina. Individual provider, active in the CMS NPPES registry since October 18, 2023.
## Identity
- **NPI:** 1770365397 (Entity type: Individual)
- **Enumerated:** October 18, 2023
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 5019014 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 66 LAKE CONCORD RD NE, Concord, NC 28025-3057
- **Phone:** (704) 403-7720
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Carolinas Physicians Network Inc (NPI 1356700132, Concord, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1770365397) · Data from the CMS NPPES public registry.