Matilda Korkor Decker

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R204376 Issued in MD

Practice address

9 E Loockerman St Ste 204
Dover, DE 19901-7347

Phone

(302) 666-9806

NPI assigned

Oct 13, 2017

Last updated

Dec 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DE2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Warren Alpert Medical School of Brown University, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One Transitional Care LLCGroup PAC ID 8820441405, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• One Transitional Care LLC

  • Family Nurse Practitioner
  • Dover, DE
  • NPI 1073394193
  Medicare reassignment Care Compare group Authorized official
• Omnis Health Life, LLC

  • Methadone Clinic
  • Baltimore, MD
  • NPI 1154861557
  Medicare reassignment NPD

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1043721343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E LOOCKERMAN ST STE 204",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199017347",
            "telephone_number": "302-666-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E LOOCKERMAN ST STE 204",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199017347",
            "telephone_number": "302-666-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "MATILDA",
        "middle_name": "KORKOR",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R204376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Dean
• Angela Antonia Debo, D.O.
• Matthew P Debo, D.O.
• Casandra Debrosse
• Vanessa Debrosse
• Carol A. Deckoff, C.R.N.A.
• Lee J. Deckoff, C.R.N.A.
• Dedicated to Women OB-GYN, P.a.
• Deemuz Center for ADHD and Anxiety Disorders LLC
• Patricia Deer, FNP

• Family Nurse Practitioner in Dover, DE
• Providers in Dover, DE by specialty
• Family Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.