AKACYEA NYCOLE DECK (PA-C) – Physician Assistant, NPI 1124615497

AKACYEA NYCOLE DECK (PA-C) is a healthcare provider. based in Jackson, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 4647 (TN). The NPI Number for AKACYEA NYCOLE DECK (PA-C) is 1124615497

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
AKACYEA NYCOLE DECK (PA-C)
NPI
1124615497
Phone
(731) 423-8697
Address
PO BOX 400
Enumeration Date
21 December 2020
Last Update Date
1 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7316641375
Graduation Year
2021 (5 years ago)
PAC ID
7911302591
Group Practice PAC ID
2668376872
Professional Enrollment ID
I20210819001552
Address ID
TN383053618JA2863XBYPX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for AKACYEA NYCOLE DECK (PA-C)

  • PO BOX 400

    JACKSON, TN 383020400

    Phone: (731) 423-8697

    Fax: (731) 425-5783

    Type: Mailing

  • 145 INNOVATION DR

    JACKSON, TN 383053019

    Phone: (731) 422-0213

    Fax: (731) 422-0297

    Type: Location

  • 418 HILL AVE

    HENDERSON, TN 383401908

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $402.

Total Amount is formed as General ($402) + Research ($0) + Ownership ($0) = $402.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($288).

Total Amount

$402

General + Research + Ownership

Payments

16

Total payment records

General Amount

$402

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

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: 2021-08-19

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
I20210819001552IPhysician AssistantTNTBD

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
99285Emergency department visit with high level of medical decision making2525$0
99284Emergency department visit with moderate level of medical decision making1919$0
View full utilization report →

Insurance plans in this area (ZIP 38302)

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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: 2668376872View full group profile
NameSpecialtyState
Nurse PractitionerTN
Family PracticeTN
E N D O C R I N O L O G YTN
-TN
-TN
G A S T R O E N T E R O L O G YTN
O P T O M E T R YTN
Certified Registered Nurse Anesthetist (Crna)TN
Interventional Cardiology, Cardiovascular Disease (Cardiology)TN
Certified Registered Nurse Anesthetist (Crna)TN

Reviews

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Frequently asked questions

Is there an official ID for AKACYEA NYCOLE DECK (PA-C) in U.S. healthcare records?
The official identifier for AKACYEA NYCOLE DECK (PA-C) is NPI 1124615497.
Is AKACYEA NYCOLE DECK (PA-C) still an active registrant?
AKACYEA NYCOLE DECK (PA-C) carries an active NPI according to the public dataset.
What kind of doctor is AKACYEA NYCOLE DECK (PA-C)?
AKACYEA NYCOLE DECK (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for AKACYEA NYCOLE DECK (PA-C)?
Travel planning: use Jackson, Tennessee as the reference point for AKACYEA NYCOLE DECK (PA-C), then confirm.
Can I trust this NPI listing for AKACYEA NYCOLE DECK (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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