Individual provider Active NPI

Corey Decker

  • Family Nurse Practitioner
  • Okemos, MI
National Provider Identifier
1255070017
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704338509 Issued in MI
Practice address
2134 Hampton PL
Okemos, MI 48864-3691
Phone
(517) 347-3000
Fax
(517) 347-8393
NPI assigned
May 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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 4704338509 MI Primary

Addresses

Primary practice location

2134 Hampton PL
Okemos, MI 48864-3691

Mailing address

2134 Hampton PL
Okemos, MI 48864-3691
Phone (517) 347-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220810002434 MI Practitioner - Nurse Practitioner 2365825213 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren Greater LansingGroup PAC ID 7214833466, shared by 4 NPIs, 96 clinicians

Practice addresses (Care Compare)

1540 Lake Lansing Rd
Suite G2
Lansing, MI 48912-3757
Phone (517) 913-6650

2134 Hampton PL
Okemos, MI 48864-3691
Phone (517) 347-3000

Hospital & facility affiliations

  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Greater Lansing CurrentSince Sep 1, 2022 Accepting new patients
McLaren Medical Group Nurse Practitioner CurrentSince Jan 30, 2023 Accepting new patients
McLaren Greater Lansing Current Accepting new patients
McLaren Greater Lansing Nurse Practitioner CurrentSince Sep 1, 2022 Accepting new patients
McLaren Medical Group CurrentSince Jan 30, 2023 Accepting new patients
McLaren Greater Lansing Past Accepting new patients

Locations

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

405 W Greenlawn Ave
Ste 305
Lansing, MI 48910
Phone (517) 483-4780

1540 Lake Lansing Rd
Ste 107
Lansing, MI 48912
Phone (517) 913-3800

1540 Lake Lansing Rd
Ste G2
Lansing, MI 48912
Phone (517) 913-6650

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1255070017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 HAMPTON PL",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643691",
            "telephone_number": "517-347-3000",
            "fax_number": "517-347-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 HAMPTON PL",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643691",
            "telephone_number": "517-347-3000",
            "fax_number": "517-347-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "COREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704338509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.