Individual provider Active NPI

Jessica Decker, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1023853355
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
309037 Issued in AZ
Practice address
3815 E Bell Rd Ste 1500
Phoenix, AZ 85032-2177
Phone
(602) 824-9309
NPI assigned
Jun 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 309037 AZ Primary

Addresses

Primary practice location

3815 E Bell Rd Ste 1500
Phoenix, AZ 85032-2177

Mailing address

3815 E Bell Rd Ste 1500
Phoenix, AZ 85032-2177
Phone (602) 824-9309

Other practice location 1

3815 E Bell Rd Ste 1500
Phoenix, AZ 85032-2177
Phone (602) 824-9309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240717000256 AZ Practitioner - Nurse Practitioner 2668917444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marcann Mental Health Services PLLCGroup PAC ID 0941335350, 13 clinicians

Practice addresses (Care Compare)

4045 E Bell Rd
Suite 139
Phoenix, AZ 85032-2239
Phone (602) 824-9309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
309037AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marcann Mental Health Services, PLLC Psychiatric/Mental Health CurrentSince Jul 1, 2024 Accepting new patients
Marcann Health Alliance Psychiatric/Mental Health PastSince Mar 24, 2025 Accepting new patients

Locations

3815 E Bell Rd
Ste 1500
Phoenix, AZ 85032
Phone (602) 494-5015

4045 E Bell Rd
Ste 139
Phoenix, AZ 85032
Phone (602) 824-9309

13925 W Meeker Blvd
Ste 18
Sun City, AZ 85375
Phone (602) 824-9309

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1023853355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 1500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322177",
            "telephone_number": "602-824-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 1500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322177",
            "telephone_number": "602-824-9309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3815 E Bell Rd Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850322177",
            "country_code": "US",
            "telephone_number": "602-824-9309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKER",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "309037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.