LAURIE JEAN DECIANTIS (FNP-BC) – Family Nurse Practitioner, NPI 1083220362

LAURIE JEAN DECIANTIS (FNP-BC) is a healthcare provider. based in Wethersfield, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 9187 (CT). The NPI Number for LAURIE JEAN DECIANTIS (FNP-BC) is 1083220362

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
LAURIE JEAN DECIANTIS (FNP-BC)
NPI
1083220362
Phone
(860) 263-0253
Address
30 JORDAN LN STE 3
Enumeration Date
22 September 2020
Last Update Date
19 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606793692
Graduation Year
2020 (6 years ago)
PAC ID
0345651139
Group Practice PAC ID
3678472016
Professional Enrollment ID
I20201130002647
Address ID
CT060300001FA263XXAVEX300

Contacts

Secure Messaging
ldeciantis40147@direct.stfranciscare.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness95
Years active:5State licenses:1Other names

4,196 NURSE PRACTITIONER in CT

Provider Addresses for LAURIE JEAN DECIANTIS (FNP-BC)

  • 30 JORDAN LN STE 3

    WETHERSFIELD, CT 061091244

    Phone: (860) 263-0253

    Fax: (860) 263-0262

    Type: Mailing

  • 61 S MAIN ST STE 312

    WEST HARTFORD, CT 061072403

    Phone: (860) 247-2530

    Fax: (860) 524-7727

    Type: Location

  • 103 SKINNER RD

    VERNON ROCKVILLE, CT 060662720

    Phone: (860) 558-6985

    Type: Mailing

  • 114 WOODLAND AVE

    HARTFORD, CT 06105

    Phone: (860) 714-9000

    Type: Location

  • 27 Sycamore St Ste 100

    Glastonbury, CT 060337208

    Phone: (860) 247-2530

    Fax: (860) 524-7727

    Type: Location

  • 151 Hazard Ave Ste 9

    Enfield, CT 060824588

    Phone: (860) 247-2530

    Fax: (860) 524-7727

    Type: Location

  • 114 Woodland Ave

    Hartford, CT 06105

    Phone: (860) 714-9000

    Type: Location

  • 263 Farmington Ave

    Farmington, CT 060300001

    Phone: (860) 679-2000

    Fax: (860) 679-3450

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2024-04-10 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-11-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201130002647INurse PractitionerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678472016View full group profile
NameSpecialtyState
N E U R O S U R G E R YNY
E N D O C R I N O L O G YVA
Orthopedic SurgeryCT
Orthopedic SurgeryCT
Endocrinology, Internal MedicineCT
Critical Care (Intensivists)CT
Hospitalist, Internal MedicineCT
Gynecological OncologyNY
Physician AssistantCT
Hand Surgery, Orthopedic SurgeryCT

Reviews

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Frequently asked questions

Where can patients find LAURIE JEAN DECIANTIS (FNP-BC)'s NPI?
You can confirm LAURIE JEAN DECIANTIS (FNP-BC) with NPI 1083220362; it appears in the national provider directory.
Is LAURIE JEAN DECIANTIS (FNP-BC)'s NPI currently valid?
The extract we use shows LAURIE JEAN DECIANTIS (FNP-BC) as active.
Can you summarize LAURIE JEAN DECIANTIS (FNP-BC)'s specialty in plain language?
Clinically, the directory lists LAURIE JEAN DECIANTIS (FNP-BC) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for LAURIE JEAN DECIANTIS (FNP-BC)?
We surface Wethersfield, Connecticut for LAURIE JEAN DECIANTIS (FNP-BC) based on available NPPES addresses.
Is LAURIE JEAN DECIANTIS (FNP-BC) a real provider?
This page reflects official NPPES data for NPI 1083220362. Always confirm identity and privileges with the practice and licensing boards.

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