Active NPI
Molly E Decker, DO
- Surgery Physician
- Greeley, CO
National Provider Identifier
1194972091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 52180
- Practice address
- 1801 16TH St
Greeley, CO 80631-5154 - Phone
- (970) 352-4121
- NPI assigned
- Aug 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | R8395 | IA | |
| Surgery Physician | 208600000X | 52180 | CO | Primary |
Addresses
Primary practice location
1801 16TH St
Greeley, CO 80631-5154
Mailing address
525 Sage Ave
Greeley, CO 80634-9396
Phone (515) 229-3506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131220000719 | CO | Practitioner - General Surgery | 2365693595 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Banner Health Physicians Colorado LLCBanner Hospital Based Physicians Colorado LLC
Practice addresses (Care Compare)
1800 15TH St
Suite 200
Greeley, CO 80631-4563
Phone (970) 810-8216
1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4593
2000 Boise Ave
Loveland, CO 80538-5006
Phone (970) 820-4640
4700 Lady Moon Dr
Fort Collins, CO 80528-4426
Phone (910) 821-4288
Hospital & facility affiliations
- Banner North Colorado Medical Center
- Banner North Co Medical Center - Loveland Campus
- Banner Fort Collins Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 30 |
| Melanoma (skin cancer) excision | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52180 | CO | MD | Surgery Physician |
| R8395 | IA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Banner Hospital Based Physicians Colorado LLC | Current | Accepting new patients | |
| Banner Hospital Based Physicians Colorado LLC | Current | Accepting new patients | |
| Banner Health Physicians Colorado LLC | Past | Accepting new patients |
Locations
1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
1800 15th St
Ste 200
Greeley, CO 80631
Phone (970) 348-0020
2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Greeley, CO
- NPI 1154679637
CO
-
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- Torrington, WY
- NPI 1215375688
-
- Critical Care Medicine (Internal Medicine) Physician
- Phoenix, AZ
- NPI 1376304758
-
- Multi-Specialty Clinic/Center
- Windsor, CO
- NPI 1831476381
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414108800000",
"number": "1194972091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 SAGE AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806349396",
"telephone_number": "515-229-3506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 16TH ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806315154",
"telephone_number": "970-352-4121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "MOLLY",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-21",
"last_updated": "2014-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IA",
"license": "R8395",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "52180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.