Lisa M Decker (NPI# 1083020416, PAC ID# 9931325685) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083020416 |
| PAC ID by PECOS | 9931325685 |
| Professional Enrollment ID | I20140801000671 |
| Full Name | Lisa M Decker |
| Organization Legal Name | GREAT RIVER PHYSICIANS AND CLINICS INC |
| Address |
401 N Orchard St Mediapolis IA 52637-7722 |
| Phone Number | 3193943177 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6204739675 |
| Number of Group Practice Members | 134 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160057 | GREAT RIVER MEDICAL CENTER |
| 160008 | KEOKUK AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 401 N Orchard St, Mediapolis, IA 52637-7722 | 3193943177 | GREAT RIVER PHYSICIANS AND CLINICS INC |
| 401 N Orchard St, Mediapolis Clinic, Mediapolis, IA 52637-7722 | 3193943177 | GREAT RIVER PHYSICIANS AND CLINICS INC |
| 1221 S Gear Ave, West Burlington, IA 52655-1679 | 3197681000 | GREAT RIVER PHYSICIANS AND CLINICS INC |
| 1223 S Gear Ave, West Burlington, IA 52655-1679 | GREAT RIVER PHYSICIANS AND CLINICS INC | |
| 1225 S Gear Ave, 254 Great River Pulmonology, West Burlington, IA 52655-1687 | 3197683240 | GREAT RIVER PHYSICIANS AND CLINICS INC |
| 1225 S Gear Ave, West Burlington, IA 52655-1687 | 3197683240 | GREAT RIVER PHYSICIANS AND CLINICS INC |
| Organization Legal Name | GREAT RIVER PHYSICIANS AND CLINICS INC |
| Physicians | 152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandy D Parker | Nurse Practitioner | Great River Physicians and Clinics Inc | 1223 S Gear Ave, 304 Pulmonology Great River Medical Center, West Burlington, IA 52655-1689 |
| Lisa A Lake | Nurse Practitioner | Great River Physicians and Clinics Inc | 1201 W Agency Rd, Family Medicine Great River Medical Center, West Burlington, IA 52655-1645 |
| Carrie F Helmick | Nurse Practitioner | Great River Physicians and Clinics Inc | 801 S Roosevelt Ave C, Family Planning of Se Iowa, Burlington, IA 52601-1691 |
| Arnaldo E Velez | Neurology | Great River Physicians and Clinics Inc | 9099 Outlook Rock Trl, Windermere, FL 34786-9518 |
| Nicole A Ferrill | Nurse Practitioner | Great River Physicians and Clinics Inc | 1225 S Gear Ave, 254 Pulmonology Great River Medical Center, West Burlington, IA 52655-1687 |
| Craig Alan Murphy | Physical Therapy | Great River Physicians and Clinics Inc | 2750 Mount Pleasant St, Suite 104, Burlington, IA 52601-2171 |
| Levi N Gause | Orthopedic Surgery | Great River Physicians and Clinics Inc | 1401 W Agency Rd, West Burlington, IA 52655-1659 |
| William S Daft | Family Medicine | Great River Physicians and Clinics Inc | 220 Mulberry St, Suite A, Wapello, IA 52653-1570 |
| Janette M Schulz | Nurse Practitioner | Great River Physicians and Clinics Inc | 1221 S Gear Ave, West Burlington, IA 52655-1679 |
| Kelly R Samberg | Nurse Practitioner | Great River Physicians and Clinics Inc | 401 N Orchard St, Mediapolis Clinic, Mediapolis, IA 52637-7722 |
| Street Address |
401 N ORCHARD ST |
| City | MEDIAPOLIS |
| State | IA |
| Zip | 52637-7722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly R Samberg | Nurse Practitioner | Great River Physicians and Clinics Inc | 401 N Orchard St, Mediapolis Clinic, Mediapolis, IA 52637-7722 |
| Naarah Hauenstein | Physician Assistant | Great River Physicians and Clinics Inc | 401 N Orchard St, Mediapolis Clinic, Mediapolis, IA 52637-7722 |
| Sarah A Wingate | Nurse Practitioner | Great River Physicians and Clinics Inc | 401 N Orchard St, Mediapolis Clinic, Mediapolis, IA 52637-7722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Roelfs | Chiropractic | Mediapolis Chiropractic Center Pllc | 214 Wapello St N, Mediapolis, IA 52637-4900 |
| Lori Lynn Roelfs | Chiropractic | Mediapolis Chiropractic Center Pllc | 214 Wapello St N, Mediapolis, IA 52637-4900 |
| Nancy T Engelhardt | Chiropractic | 525 Wapello S St B, Mediapolis, IA 52637-7747 |
| City | MEDIAPOLIS |
| Zip Code | 52637 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MEDIAPOLIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lisa M Decker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.