MEREDITH ANN DECKER (PHD, LP) – Psychologist, NPI 1063904456

MEREDITH ANN DECKER (PHD, LP) is a healthcare provider. based in Omaha, Nebraska. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD, LP. They hold a License No. 11496 (NE). The NPI Number for MEREDITH ANN DECKER (PHD, LP) is 1063904456

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MEREDITH ANN DECKER (PHD, LP)
NPI
1063904456
Phone
(402) 559-6408
Address
444 S 44th St
Enumeration Date
1 June 2018
Last Update Date
31 July 2020

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
4486071891
Group Practice PAC ID
1951208222
Professional Enrollment ID
I20200831002989
Address ID
NE683100278BEPOXXXBOXX201
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

200 CLINICAL PSYCHOLOGIST in NE

Provider Addresses for MEREDITH ANN DECKER (PHD, LP)

  • 444 S 44th St

    Omaha, NE 681313727

    Phone: (402) 559-6408

    Fax: (402) 559-5737

    Type: Location

  • Beatrice Orthopaedics and Sports Medicine, 4800, Hospital Parkway, Beatrice, Gage County, Nebraska, 68310, United States

    BEATRICE, NE 683106906

    Phone: (402) 228-3436

    Fax: (402) 228-3436

    Type: Mailing

  • Gage County Medical Clinic, 1101, North 10th Street, Beatrice, Gage County, Nebraska, 68310, United States

    BEATRICE, NE 683102001

    Phone: (402) 228-3436

    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: 2020-08-31

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
I20200831002989IClinical PsychologistNETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68131)

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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: 1951208222View full group profile
NameSpecialtyState
Pulmonary DiseaseNE
Certified Registered Nurse Anesthetist (Crna)NE
Family PracticeNE
Mental Health CounselorNE
Family PracticeNE
Nurse PractitionerNE
O B S T E T R I C S/ G Y N E C O L O G YNE
Pulmonary DiseaseNE
Certified Registered Nurse Anesthetist (Crna)NE
Nurse PractitionerNE

Reviews

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Frequently asked questions

What unique ID ties claims to MEREDITH ANN DECKER (PHD, LP)?
NPI 1063904456 is assigned to MEREDITH ANN DECKER (PHD, LP) under the national enumeration system.
Is MEREDITH ANN DECKER (PHD, LP) currently active in the NPI registry?
CMS-published data lists MEREDITH ANN DECKER (PHD, LP) as an active registrant.
What does MEREDITH ANN DECKER (PHD, LP) treat or focus on?
Patients typically see MEREDITH ANN DECKER (PHD, LP) under the specialty Psychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MEREDITH ANN DECKER (PHD, LP)?
The page summarizes Omaha, Nebraska for MEREDITH ANN DECKER (PHD, LP); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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