PALLAV DEKA PHD, AGACNP-BC
NPI 1861926636
Nurse Practitioner in Holt, MI

Q: What is Pallav Deka's NPI number?

The NPI number for Pallav Deka is 1861926636. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Q: What is Pallav Deka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Pallav Deka was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since April 18, 2017PECOS EnrolledAccepts Medicare Assignment

5091 WILLOUGHBY RD, HOLT, MI 48842(517) 694-2144(517) 694-7469 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2024, Sep 19, 2019, Apr 18, 2017 (3 updates tracked since 2017).

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About Pallav Deka Phd, Agacnp-bc NPPES

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

PALLAV DEKA PHD, AGACNP-BC (NPI 1861926636) is an individual nurse practitioner in Holt, Michigan, licensed in Michigan (4704350380) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1861926636

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NamePALLAV DEKACredential: PHD, AGACNP-BC

Location Address5091 WILLOUGHBY RDHolt, MI 48842-1054

Mailing Address804 Service Rd Ste A109bEast Lansing, MI 48824-7015 · (517) 694-2144 · Fax (517) 694-7469

Phone(517) 694-2144

Fax(517) 694-7469

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 18, 2017

Last NPPES UpdateAugust 23, 20243 updates tracked since enumeration

NPPES CertifiedAugust 23, 2024

✔ NPI 1861926636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704350380

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 4704350380 (MI)

5091 WILLOUGHBY RD, Holt, MI 48842

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Pallav Deka Phd, Agacnp-bc 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 ID4486986379

PECOS Enrollment IDI20191025001403

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.

Hospital Affiliations CMS Care Compare

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

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230230

Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48842 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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Other Providers at the Same Location NPPES 16

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

NICOLE MONTGOMERY COTAL

Occupational Therapy Assistant