Individual provider Active NPI

Alishia D Decker, FNP

  • Family Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1669098463
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1017770 Issued in TX
Practice address
2300 Brook Ave
Wichita Falls, TX 76301-6124
Phone
(940) 867-7452
Fax
(940) 940-0052
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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 1017770 TX Primary

Addresses

Primary practice location

2300 Brook Ave
Wichita Falls, TX 76301-6124

Mailing address

1641 Texowa Rd
Iowa Park, TX 76367-1190
Phone (940) 867-7452

Other practice location 1

1641 Texowa Rd
Iowa Park, TX 76367-1190
Phone (940) 867-7452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20201111002376 TX Practitioner - Nurse Practitioner 4688084114 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Little Black Bag House Calls LLC CurrentSince Mar 4, 2021 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Critical Care Specialists of North Texas, PLLC PastSince Mar 4, 2021 Accepting new patients

Locations

901 Indiana Ave
Ste 540
Wichita Falls, TX 76301
Phone (940) 249-5253

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1669098463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 TEXOWA RD",
            "city": "IOWA PARK",
            "state": "TX",
            "postal_code": "763671190",
            "telephone_number": "940-867-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763016124",
            "telephone_number": "940-867-7452",
            "fax_number": "940-940-0052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1641 Texowa Rd",
            "address_purpose": "LOCATION",
            "city": "Iowa Park",
            "state": "TX",
            "postal_code": "763671190",
            "country_code": "US",
            "telephone_number": "940-867-7452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKER",
        "first_name": "ALISHIA",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1017770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.