Individual provider Active NPI

Patricia Sue Decker, APRN

  • Primary Care Nurse Practitioner
  • Mystic, CT
National Provider Identifier
1306815469
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
001837 Issued in CT
Practice address
28 Broadway Ave
Mystic, CT 06355-2833
Phone
(860) 536-9655
NPI assigned
Mar 14, 2006
Last updated
Sep 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 001837 CT Primary

Addresses

Primary practice location

28 Broadway Ave
Mystic, CT 06355-2833

Mailing address

20 Bill Hill Rd
Lyme, CT 06371-1150
Phone (860) 575-1956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20071217000280 CT Practitioner - Nurse Practitioner 7810087764 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HDC Care Solutions LLCGroup PAC ID 0345634770, 190 clinicians

Practice addresses (Care Compare)

101 Centerpoint Dr
Suite 215
Middletown, CT 06457-7568
Phone (888) 964-6681

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001837CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
HDC Care Solutions, LLC Primary Care CurrentSince Aug 1, 2025 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
Value Based Long Term Care H PC CurrentSince Aug 11, 2025 Accepting new patients
Ma Pacs 2 PC CurrentSince Aug 16, 2021 Accepting new patients
Healthdrive Medical Services Southeast LLC Primary Care CurrentSince Aug 1, 2025 Accepting new patients
Careconnectmd Connecticut PC CurrentSince Aug 22, 2025 Accepting new patients
Connecticut Post Acute Medical Services 1 PC CurrentSince Jul 2, 2021 Accepting new patients
Ipc Hospitalists of New England, P.C. CurrentSince Nov 8, 2016 Accepting new patients
Ipc Hospitalists of New England PC CurrentSince Nov 8, 2016 Accepting new patients
Ipc Hospitalists of New England, P.C. Current Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550

111 Church St
Middletown, CT 06457
Phone (860) 347-3786

28 Broadway Ave
Mystic, CT 06355
Phone (860) 536-9655

31 Vauxhall St
New London, CT 06320
Phone (203) 789-1650

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

5 Research Dr
Shelton, CT 06484
Phone (203) 567-5264

1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000

88 Clark Ln
Waterford, CT 06385
Phone (860) 442-0471

819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1306815469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BILL HILL RD",
            "city": "LYME",
            "state": "CT",
            "postal_code": "063711150",
            "telephone_number": "860-575-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BROADWAY AVE",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552833",
            "telephone_number": "860-536-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "PATRICIA",
        "middle_name": "SUE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "001837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mystic, CT

Sources for this page

Verify at the official NPI Registry.