MRS. ELIZABETH D. DECK (FNP-BC) – Family Nurse Practitioner, NPI 1396715546

MRS. ELIZABETH D. DECK (FNP-BC) is a healthcare provider. based in Bourbonnais, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 209005074 (IL). The NPI Number for MRS. ELIZABETH D. DECK (FNP-BC) is 1396715546

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ELIZABETH D. DECK (FNP-BC)
NPI
1396715546
Phone
(815) 935-2784
Address
400 RIVERSIDE DR STE 2100
Enumeration Date
23 January 2006
Last Update Date
21 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8159351100
Graduation Year
2003 (23 years ago)
PAC ID
5395705172
Group Practice PAC ID
3274434717
Professional Enrollment ID
I20041015000431
Address ID
IL609145004BO400XXDRXX306
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for MRS. ELIZABETH D. DECK (FNP-BC)

  • Riverside Drive, Bourbonnais, Kankakee County, Illinois, 60914, United States

    BOURBONNAIS, IL 609145004

    Phone: (815) 935-2784

    Fax: (815) 935-5687

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $1,143.

Total Amount is formed as General ($1,143) + Research ($0) + Ownership ($0) = $1,143.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Novo Nordisk Inc ($202).

Total Amount

$1,143

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2004-10-15

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
I20041015000431INurse PractitionerILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes681408$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit265265$0
99213Established patient office or other outpatient visit, 20-29 minutes139120$0
G0008Administration of influenza virus vaccine7473$0
90662Influenza vaccine split virus, preservative free5453$0
View full utilization report →

Insurance plans in this area (ZIP 60914)

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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: 3274434717View full group profile
NameSpecialtyState
Nurse PractitionerIL
N E U R O L O G YIL
Physician AssistantIL
-IL
-IL
-IL
Internal MedicineIL
Nurse PractitionerIL
Family PracticeIL
N E U R O L O G YNY

Reviews

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Frequently asked questions

Is MRS. ELIZABETH D. DECK (FNP-BC) listed with a National Provider Identifier?
Yes — MRS. ELIZABETH D. DECK (FNP-BC) has NPI 1396715546 on file in the registry.
Would MRS. ELIZABETH D. DECK (FNP-BC) appear as active to a payer?
You can treat MRS. ELIZABETH D. DECK (FNP-BC) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MRS. ELIZABETH D. DECK (FNP-BC)'s focus?
For MRS. ELIZABETH D. DECK (FNP-BC), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. ELIZABETH D. DECK (FNP-BC)?
Travel planning: use Bourbonnais, Illinois as the reference point for MRS. ELIZABETH D. DECK (FNP-BC), then confirm.
When was this NPI issued?
Enumeration for MRS. ELIZABETH D. DECK (FNP-BC) is noted as January 23, 2006 where the registry provides it.

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