AMY MICHELLE DECKER (FNP) – Family Nurse Practitioner, NPI 1417434515

AMY MICHELLE DECKER (FNP) is a healthcare provider. based in Holly, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP70015530 (WA). The NPI Number for AMY MICHELLE DECKER (FNP) is 1417434515

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
AMY MICHELLE DECKER (FNP)
NPI
1417434515
Phone
(248) 361-6067
Address
13832 NORTHRIDGE DR
Enumeration Date
23 July 2018
Last Update Date
20 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2483385000
Graduation Year
2018 (8 years ago)
PAC ID
6305198052
Group Practice PAC ID
2365968351
Professional Enrollment ID
I20181009001073
Address ID
MI483422217PO50XXXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:7State licenses:2Digital endpointsOther names

6,268 NURSE PRACTITIONER in WA

Provider Addresses for AMY MICHELLE DECKER (FNP)

  • Northridge Drive, Waterford Place, LaGrange, Troup County, Georgia, 30240, United States

    HOLLY, MI 484428230

    Phone: (248) 361-6067

    Type: Mailing

  • 4205 Kitsap Way

    Bremerton, WA 983122447

    Phone: (360) 782-7780

    Fax: (360) 782-7789

    Type: Location

  • McLaren Greater Lansing, 401, West Greenlawn Avenue, Greencroft Park, Lansing, Ingham County, Michigan, 48910, United States

    LANSING, MI 489102819

    Phone: (248) 383-8770

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20181009001073INurse PractitionerMITBD
I20240724001703INurse PractitionerCATBD
I20251001000133INurse PractitionerWATBD

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
99284Emergency department visit with moderate level of medical decision making126123$0
99285Emergency department visit with high level of medical decision making5555$0
99283Emergency department visit with low level of medical decision making3131$0
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 48442)

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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: 2365968351View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Internal MedicineMI
Internal MedicineMI
Physician AssistantMI
Emergency MedicineOH
Emergency MedicineMI
Emergency MedicineMI
Nurse PractitionerMI
Diagnostic RadiologyMI
Radiation Oncology, Diagnostic RadiologyMI

Reviews

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Frequently asked questions

How do payers reference AMY MICHELLE DECKER (FNP)?
For AMY MICHELLE DECKER (FNP), use NPI 1417434515 as the unique 10-digit identifier.
Would AMY MICHELLE DECKER (FNP) appear as active to a payer?
You can treat AMY MICHELLE DECKER (FNP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe AMY MICHELLE DECKER (FNP)'s focus?
For AMY MICHELLE DECKER (FNP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with AMY MICHELLE DECKER (FNP)?
Directory geography for AMY MICHELLE DECKER (FNP) centers on Holly, Michigan.
Can I trust this NPI listing for AMY MICHELLE DECKER (FNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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