KATHLEEN DELAIN DECKER (AGPCNP-BC) – Adult Health Nurse Practitioner, NPI 1780168823

KATHLEEN DELAIN DECKER (AGPCNP-BC) is a healthcare provider. based in Richwoods, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-BC. They hold a License No. 2018032681 (MO). The NPI Number for KATHLEEN DELAIN DECKER (AGPCNP-BC) is 1780168823

Main info

Female
8 Years Of Experience
Name
KATHLEEN DELAIN DECKER (AGPCNP-BC)
NPI
1780168823
Phone
(573) 678-2699
Address
10069 DRY GULCH RD
Enumeration Date
24 September 2018
Last Update Date
24 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3148462100
Graduation Year
2018 (8 years ago)
PAC ID
9931507175
Group Practice PAC ID
2466809645
Professional Enrollment ID
I20211001001982
Address ID
MO631293354SA4455XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for KATHLEEN DELAIN DECKER (AGPCNP-BC)

  • 10069 DRY GULCH RD

    RICHWOODS, MO 630712510

    Phone: (573) 678-2699

    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 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-05-25 • Largest payer in this snapshot: Fidia Pharma USA Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Fidia Pharma USA Inc.$15
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: 2021-10-01

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
I20211001001982INurse PractitionerMOTBD

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
77002Fluoroscopic guidance for needle placement51892$0
20610Aspiration and/or injection of fluid from large joint51191$0
J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose49690$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml38072$0
J2001Injection, lidocaine hcl for intravenous infusion, 10 mg10936$0
View full utilization report →

Insurance plans in this area (ZIP 63071)

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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: 2466809645View full group profile
NameSpecialtyState
Nurse PractitionerMO

Reviews

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Frequently asked questions

What identifier follows KATHLEEN DELAIN DECKER (AGPCNP-BC) across health systems?
The NPI 1780168823 uniquely identifies KATHLEEN DELAIN DECKER (AGPCNP-BC) in U.S. healthcare data.
Does the public listing show KATHLEEN DELAIN DECKER (AGPCNP-BC) as active?
KATHLEEN DELAIN DECKER (AGPCNP-BC)'s NPI record reflects an active status in NPPES.
What type of care does KATHLEEN DELAIN DECKER (AGPCNP-BC) provide?
KATHLEEN DELAIN DECKER (AGPCNP-BC)'s profile centers on Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KATHLEEN DELAIN DECKER (AGPCNP-BC)?
KATHLEEN DELAIN DECKER (AGPCNP-BC) is associated with Richwoods, Missouri in the same public data insurers reference.
Who maintains KATHLEEN DELAIN DECKER (AGPCNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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