RICHARD H DECLERCQ (AGACNP) – Acute Care Nurse Practitioner, NPI 1821402678

RICHARD H DECLERCQ (AGACNP) is a healthcare provider. based in Novi, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP. They hold a License No. 4704207432 (MI). The NPI Number for RICHARD H DECLERCQ (AGACNP) is 1821402678

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD H DECLERCQ (AGACNP)
NPI
1821402678
Phone
(248) 893-3200
Address
28455 HAGGERTY RD
Enumeration Date
19 June 2014
Last Update Date
10 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2488933200
Graduation Year
2014 (12 years ago)
PAC ID
1153546403
Group Practice PAC ID
3870484116
Professional Enrollment ID
I20140701000361
Address ID
MI483772982NO28455RDXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for RICHARD H DECLERCQ (AGACNP)

  • 28455 HAGGERTY RD

    SUITE 200

    NOVI, MI 483772982

    Phone: (248) 893-3200

    Fax: (248) 893-2950

    Type: Location

  • 6676 SOLUTIONS CTR

    CHICAGO, IL 606776006

    Phone: (248) 893-3220

    Fax: (248) 893-2951

    Type: Mailing

  • 28455 HAGGERTY RD STE 200

    NOVI, MI 483772982

    Phone: (248) 893-3200

    Fax: (248) 893-2950

    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: 2014-07-01

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
I20140701000361INurse PractitionerMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11547$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 48377)

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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: 3870484116View full group profile
NameSpecialtyState
General Practice, Geriatric MedicineMI
-MI
-MI
Nurse PractitionerMI
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationIL
Nurse PractitionerIL
Physical Medicine And RehabilitationIL

Reviews

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Frequently asked questions

What NPI should I save for RICHARD H DECLERCQ (AGACNP)?
Save NPI 1821402678 if you need a stable reference for RICHARD H DECLERCQ (AGACNP).
Is RICHARD H DECLERCQ (AGACNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does RICHARD H DECLERCQ (AGACNP) work in?
You can think of RICHARD H DECLERCQ (AGACNP) as practicing within Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for RICHARD H DECLERCQ (AGACNP)?
We surface Novi, Michigan for RICHARD H DECLERCQ (AGACNP) based on available NPPES addresses.
Is RICHARD H DECLERCQ (AGACNP) a real provider?
This page reflects official NPPES data for NPI 1821402678. Always confirm identity and privileges with the practice and licensing boards.

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