11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1730 US PECOS Enrolled
Overview
Shannon L Decker is a Nurse Practitioner in the FORT WAYNE area and has over 29 years of experience. Shannon L Decker primary office location is at 11108 PARKVIEW CIRCLE DR and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 1994
Shannon L Decker is affiliated with four hospitals in the FORT WAYNE area, including PARKVIEW REGIONAL MEDICAL CENTER. The NPI number is 1003469925 and the information was updated approximately 2 years ago.
Shannon L Decker is affiliated with one medical group in the FORT WAYNE area, PARKVIEW HEALTH SYSTEM INC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 28202903A | IN |
| 71009255A | IN |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Nurse Practitioner - Taxonomy Code 363L00000X | IN | Y |
| Registered Nurse - Taxonomy Code 163W00000X | IN | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20191009001616 |
| PECOS Individual PAC ID: | 7517298326 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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