JACK DECKER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1487680369

JACK DECKER (CRNA) is a healthcare provider. based in Pigeon, Michigan. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 4704110453 (MI). The NPI Number for JACK DECKER (CRNA) is 1487680369

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
JACK DECKER (CRNA)
NPI
1487680369
Phone
(989) 453-3223
Address
170 N Caseville Rd
Enumeration Date
23 June 2006
Last Update Date
26 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9894533223
Graduation Year
1983 (43 years ago)
PAC ID
2860580131
Group Practice PAC ID
1456242296
Professional Enrollment ID
I20071120000475
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for JACK DECKER (CRNA)

  • 170 N Caseville Rd

    Pigeon, MI 487559704

    Phone: (989) 453-3223

    Type: Location

  • Covenant Medical Center Harrison, 1447, North Harrison Street, Old Saginaw City, Saginaw, Saginaw County, Michigan, 48602, United States

    SAGINAW, MI 486024727

    Phone: (989) 583-6237

    Fax: (989) 583-6032

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $171.

Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.

Last reported payment date: 2023-11-21 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($113).

Total Amount

$171

General + Research + Ownership

Payments

8

Total payment records

General Amount

$171

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-21

Latest reported date

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2019$0
00811Anesthesia for other procedure on large bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 48755)

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Provider's Procedures

JACK DECKER (CRNA) performs procedures in Certified Registered Nurse Anesthetist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETMI01402Anesthesia for open or endoscopic total knee joint replacement1313

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: 1456242296View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Family Practice, Geriatric MedicineMI
Emergency MedicineMI
Certified Registered Nurse Anesthetist (Crna)MI
Emergency MedicineMI
-MI
Nurse PractitionerMI
Clinical Social WorkerMI
General SurgeryMI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

What is the 10-digit NPI for JACK DECKER (CRNA)?
JACK DECKER (CRNA) — NPI 1487680369 — is the standard way to identify this listing.
Can I rely on JACK DECKER (CRNA) being an active provider?
As of the registry snapshot, JACK DECKER (CRNA) is marked active.
What healthcare role does JACK DECKER (CRNA) hold?
Scheduling teams often label JACK DECKER (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where should I expect JACK DECKER (CRNA) on a map?
Expect Pigeon, Michigan as a primary anchor for JACK DECKER (CRNA) unless the record lists multiple sites.
Why does JACK DECKER (CRNA) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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