JENA DECANTER (FNP) – Family Nurse Practitioner, NPI 1215306584

JENA DECANTER (FNP) is a healthcare provider. based in Tyler, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP129001 (TX). The NPI Number for JENA DECANTER (FNP) is 1215306584

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JENA DECANTER (FNP)
NPI
1215306584
Phone
(903) 531-8000
Address
1000 E 5TH ST STE 400
Enumeration Date
17 September 2015
Last Update Date
3 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9036508619
Graduation Year
2015 (11 years ago)
PAC ID
5991015786
Group Practice PAC ID
2961885850
Professional Enrollment ID
I20151106000986
Address ID
TX757072541TY11980EXXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for JENA DECANTER (FNP)

  • 1000 E 5TH ST STE 400

    TYLER, TX 757013362

    Phone: (903) 531-8000

    Fax: (903) 262-3993

    Type: Mailing

  • 11980 STATE HIGHWAY 64 E STE G

    TYLER, TX 757072541

    Phone: (903) 650-8619

    Fax: (903) 650-8576

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $178.

Total Amount is formed as General ($178) + Research ($0) + Ownership ($0) = $178.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Lilly USA, LLC ($79).

Total Amount

$178

General + Research + Ownership

Payments

10

Total payment records

General Amount

$178

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

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: 2015-11-06

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
I20151106000986INurse PractitionerTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5726$0
36415Insertion of needle into vein for collection of blood sample5429$0
99213Established patient office or other outpatient visit, 20-29 minutes2816$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
99497Advance care planning, first 30 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 75701)

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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: 2961885850View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What identifier follows JENA DECANTER (FNP) across health systems?
The NPI 1215306584 uniquely identifies JENA DECANTER (FNP) in U.S. healthcare data.
Is JENA DECANTER (FNP) currently accepting referrals based on NPI status?
Registry metadata lists JENA DECANTER (FNP) as active.
What services align with JENA DECANTER (FNP)'s listing?
JENA DECANTER (FNP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit JENA DECANTER (FNP) in Tyler, Texas?
For routing, start with Tyler, Texas for JENA DECANTER (FNP), then verify phone and hours locally.
Can I export JENA DECANTER (FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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