Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104447218 Individual Practitioner Female Practitioner

Dr. Alyssa Decker , DO

Pediatrics • Maplewood, MN

Professional Overview & Biography Verified Profile Summary

Dr. Alyssa Decker, DO is a registered healthcare professional specializing in Pediatrics in Maplewood, MN. Practice services are available at 2165 WHITE BEAR AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2165 White Bear Ave N

Maplewood, MN 551092707

Telephone 6515239800
Associated Practice Facility / Clinic
🏢 Group Health Plan Inc Facility NPI 1982764809

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Maplewood, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
16 Specialists

Practicing in Maplewood, MN (1325 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-12-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 74929

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IL 125.075864

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

530 Ne Glen Oak Ave

Peoria, IL 616370001

Phone: 5033074888

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Jennifer Novak

Nurse Practitioner - Gerontology

NPI 1023557352
Dr. Endea Curry , MD

Internal Medicine

NPI 1073782207

Doctor of Medicine (M.D.)

NPI 1083973804

Doctor of Medicine (M.D.)

Anushree Bhosale

Family Medicine

NPI 1174053144
NPI 1184244204

Doctor of Medicine (M.D.)

Jessica Lemker , NP-C

Nurse Practitioner - Family

NPI 1205311156

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 03, 2023

Registered at 2165 WHITE BEAR AVE N, MAPLEWOOD, MN 551092707 (Tel: 6515239800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2023

Pediatrics (License #74929 in MN)

NPI Profile Active April 29, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 29, 2020

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 5033074888)

📍
Updated Business Mailing Address April 29, 2020

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001

👤
Provider Name / Credentials Updated April 29, 2020

Recorded as ALYSSA DECKER, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2020

Pediatrics (License #125.075864 in IL)

🟢
Initial NPI Registration & Enumeration April 29, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104447218
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2020
Last Update: August 03, 2023
Sole Proprietor: No

Mailing Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.