Individual provider Active NPI

Jane Louise Irvin Decker, FNP-C

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1396680443
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10056357 Issued in OR
Practice address
1410 NE 106TH Ave
Portland, OR 97220-3934
Phone
(503) 460-0405
NPI assigned
Apr 23, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 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 10056357 OR Primary

Addresses

Primary practice location

1410 NE 106TH Ave
Portland, OR 97220-3934

Mailing address

1410 NE 106TH Ave
Portland, OR 97220-3934
Phone (503) 460-0405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20260519003760 OR Practitioner - Nurse Practitioner 7618446691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical School at San Antonio, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1410 NE 106TH Ave
Portland, OR 97220-3934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10056357ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge City Family Medical Clinic, PC CurrentSince Jun 1, 2026 Accepting new patients

Locations

1410 NE 106th Ave
Portland, OR 97220
Phone (503) 460-0405

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1776902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1396680443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 NE 106TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203934",
            "telephone_number": "503-460-0405",
            "fax_number": "503-460-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 NE 106TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203934",
            "telephone_number": "503-460-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "JANE",
        "middle_name": "LOUISE IRVIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10056357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.