Individual provider Active NPI

Lisa Decker, A.R.N.P., DNP-FNP-C

  • Family Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1083020416
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A109397 Issued in IA
Practice address
2628 N Ripley St Apt 1
Davenport, IA 52803-1458
Phone
(563) 650-4998
NPI assigned
Jul 7, 2014
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A109397 IA Primary

Addresses

Primary practice location

2628 N Ripley St Apt 1
Davenport, IA 52803-1458

Mailing address

17790 South Spencer Road
Pleasant Valley, IA 52767
Phone (563) 650-4998

Other practice location 1

17790 South Spencer Road
Pleasant Valley, IA 52767
Phone (563) 650-4998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20140801000671 IA Practitioner - Nurse Practitioner 9931325685 Reassigns benefits to 3 organizations

National Provider Directory

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1083020416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17790 SOUTH SPENCER ROAD",
            "city": "PLEASANT VALLEY",
            "state": "IA",
            "postal_code": "52767",
            "telephone_number": "563-650-4998",
            "fax_number": "563-726-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 N RIPLEY ST APT 1",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528031458",
            "telephone_number": "563-650-4998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17790 South Spencer Road",
            "address_purpose": "LOCATION",
            "city": "Pleasant Valley",
            "state": "IA",
            "postal_code": "52767",
            "country_code": "US",
            "telephone_number": "563-650-4998",
            "fax_number": "563-726-7860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKER",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "A.R.N.P., DNP-FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A109397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.