CARLY DECKER – Psychiatric/Mental Health Nurse Practitioner, NPI 1902415870

CARLY DECKER is a healthcare provider. based in San marcos, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 404902 (NY). The NPI Number for CARLY DECKER is 1902415870

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
CARLY DECKER
NPI
1902415870
Phone
(740) 706-6104
Address
1317 Brown St
Enumeration Date
27 July 2020
Last Update Date
9 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4153603348
Graduation Year
2021 (5 years ago)
PAC ID
6305228164
Group Practice PAC ID
6608262464
Professional Enrollment ID
I20220727000759
Address ID
TX78731XXXXAUXXXXXXXXXX00
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:5State licenses:3Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for CARLY DECKER

  • 1317 Brown St

    San Marcos, TX 786664011

    Phone: (740) 706-6104

    Type: Location

  • 1430 COLLIER ST

    AUSTIN, TX 787042911

    Phone:

    Type: Mailing

  • 1631 E 2ND ST

    AUSTIN, TX 787024490

    Phone: (512) 472-4357

    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: 2022-07-27

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
I20220727000759INurse 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.

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

Insurance plans in this area (ZIP 78666)

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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: 6608262464View full group profile
NameSpecialtyState
Clinical Social WorkerMD
Mental Health CounselorKY
Mental Health CounselorTX
Clinical Social WorkerTX
Nurse PractitionerTN
Clinical Social WorkerTX
Mental Health CounselorTN
Mental Health CounselorTX
Mental Health CounselorTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is CARLY DECKER listed with a National Provider Identifier?
Yes — CARLY DECKER has NPI 1902415870 on file in the registry.
Is CARLY DECKER shown as active in public data?
Registry records indicate CARLY DECKER maintains an active NPI.
What clinical focus is listed for CARLY DECKER?
At a glance, CARLY DECKER is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with CARLY DECKER?
Directory geography for CARLY DECKER centers on San Marcos, Texas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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