CONNIE DECKER (CRNP) – Obstetrics & Gynecology Nurse Practitioner, NPI 1902860265

CONNIE DECKER (CRNP) is a healthcare provider. based in Johnstown, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. UP004802G (PA). The NPI Number for CONNIE DECKER (CRNP) is 1902860265

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
CONNIE DECKER (CRNP)
NPI
1902860265
Phone
(724) 349-2022
Address
136 JAYCEE DRIVE
Enumeration Date
13 April 2006
Last Update Date
4 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8149616180
Graduation Year
1997 (29 years ago)
PAC ID
1456538933
Group Practice PAC ID
7315335767
Professional Enrollment ID
I20110609000512
Address ID
PA159043650JO136XXDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for CONNIE DECKER (CRNP)

  • 136 JAYCEE DRIVE

    SUITE 10

    JOHNSTOWN, PA 159043650

    Phone: (724) 349-2022

    Type: Mailing

  • 1097, Oak Street, Near West Side, South Bend, Saint Joseph County, Indiana, 46616, United States

    INDIANA, PA 15701

    Phone: (724) 349-2022

    Fax: (724) 349-8735

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 81 Open Payments records for all available years, with a total value of $1,657.

Total Amount is formed as General ($1,657) + Research ($0) + Ownership ($0) = $1,657.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Astellas Pharma US Inc ($276).

Total Amount

$1,657

General + Research + Ownership

Payments

81

Total payment records

General Amount

$1,657

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-06-09

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
I20110609000512INurse PractitionerPATBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3535$0
96127Assessment of emotional or behavioral problems3434$0
99213Established patient office or other outpatient visit, 20-29 minutes2719$0
81003Automated urinalysis test1616$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1616$0
View full utilization report →

Insurance plans in this area (ZIP 15904)

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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: 7315335767View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

What unique ID ties claims to CONNIE DECKER (CRNP)?
NPI 1902860265 is assigned to CONNIE DECKER (CRNP) under the national enumeration system.
Is CONNIE DECKER (CRNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is CONNIE DECKER (CRNP)?
The page reflects Obstetrics & Gynecology Nurse Practitioner for CONNIE DECKER (CRNP). Clinical services aligned with this taxonomy classification.
Does CONNIE DECKER (CRNP) practice in Pennsylvania?
You will see Johnstown, Pennsylvania on file for CONNIE DECKER (CRNP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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