COURTNEY ELIZABETH DECKER (PA-C) – Physician Assistant, NPI 1053878595

COURTNEY ELIZABETH DECKER (PA-C) is a healthcare provider. based in Mukwonago, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5113-23 (WI). The NPI Number for COURTNEY ELIZABETH DECKER (PA-C) is 1053878595

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY ELIZABETH DECKER (PA-C)
NPI
1053878595
Phone
(262) 470-7862
Address
S96W33195 HICKORYWOOD TRL
Enumeration Date
20 February 2019
Last Update Date
5 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072842511
Graduation Year
2020 (6 years ago)
PAC ID
8921426370
Group Practice PAC ID
6507778255
Professional Enrollment ID
I20221214002400
Address ID
MN559050001RO200XXSWXX400

Contacts

Secure Messaging
cmckeever596563@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:7State licenses:2Other namesUpdated within 12 months

3,678 PHYSICIAN ASSISTANT in WI

Provider Addresses for COURTNEY ELIZABETH DECKER (PA-C)

  • S96W33195 HICKORYWOOD TRL

    MUKWONAGO, WI 531498638

    Phone: (262) 470-7862

    Type: Location

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

  • 1104 21ST ST

    REEDSBURG, WI 539591156

    Phone: (608) 524-6487

    Type: Location

  • 1104 21st St

    Reedsburg, WI 539591156

    Phone: (608) 524-6487

    Type: Location

  • 1104, 21st Street, Reedsburg, Sauk County, Wisconsin, 53959, United States

    REEDSBURG, WI 539591156

    Phone: (608) 524-6487

    Type: Mailing

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: 2022-12-14

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
I20221214002400IPhysician AssistantMNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes170158$0
99203New patient office or other outpatient visit, 30-44 minutes6262$0
99214Established patient office or other outpatient visit, 30-39 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 53149)

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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: 6507778255View full group profile

Reviews

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Frequently asked questions

What is COURTNEY ELIZABETH DECKER (PA-C)'s NPI number?
COURTNEY ELIZABETH DECKER (PA-C)'s NPI is 1053878595 — the number used across U.S. healthcare to identify this provider.
Would COURTNEY ELIZABETH DECKER (PA-C) appear as active to a payer?
You can treat COURTNEY ELIZABETH DECKER (PA-C) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe COURTNEY ELIZABETH DECKER (PA-C)'s focus?
For COURTNEY ELIZABETH DECKER (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for COURTNEY ELIZABETH DECKER (PA-C)?
Travel planning: use Mukwonago, Wisconsin as the reference point for COURTNEY ELIZABETH DECKER (PA-C), then confirm.
When was this NPI issued?
Enumeration for COURTNEY ELIZABETH DECKER (PA-C) is noted as February 20, 2019 where the registry provides it.

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