Paula Decanter, FNP – Family Nurse Practitioner

Key facts

NPI: 1750351540
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: R819565 (MS)
Practice address: 1755 County Road 81
Blue Mountain, MS 38610-9657
Phone: (662) 538-4111
Fax: (662) 538-4128
NPI assigned: Jan 24, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 4

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.

Steele Medical Clinic LLC Primary Care Clinic/Center · Myrtle, MS · NPI 1720726391

Medicare reassignment Care Compare group NPD MS
Lindsay Clinic PA Family Nurse Practitioner · Pontotoc, MS · NPI 1386836732

NPD FAMILY
Phyllis G Koonce Rural Health Clinic/Center · Blue Mountain, MS · NPI 1891911186

NPD (past)
W Thomas Oakes Jr, MD, PC Neurology Physician · Tupelo, MS · NPI 1760581227

NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Baptist Memorial Hospital Union County, Inc. General Acute Care Hospital · New Albany, MS · NPI 1780648352

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 1999
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Steele Medical Clinic LLC (2 clinicians)

Practice addresses (Care Compare)

1757 Hwy 178 W
Suite a
Myrtle, MS 38650-9233
Phone (662) 988-7041

Hospital & facility affiliations

Baptist Memorial Hospital Union County Hospital · New Albany, MS · CCN 250006

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MS
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20040824000759	MS	Practitioner - Nurse Practitioner	9638143704	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Steele Medical Clinic LLC		Current since Nov 1, 2023	Accepting new patients
Lindsay Clinic PA	Family	Current since Nov 1, 2023	Accepting new patients
Phyllis G Koonce		Past	Accepting new patients
W Thomas Oakes Jr, MD, PC		Past	Accepting new patients

Locations

1757 State Road 178 W
#A
Myrtle, MS 38650

1757 Highway 178 W
#A
Myrtle, MS 38650
Phone (662) 988-7041

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	R819565	MS	Yes

Addresses

Primary practice location

1755 County Road 81
Blue Mountain, MS 38610-9657

Mailing address

1755 County Road 81
Blue Mountain, MS 38610-9657
Phone (662) 538-4111

Other identifiers

Identifier	Type	State	Issuer
0121560	Medicaid	MS

Other providers in Blue Mountain, MS

All providers in Blue Mountain, MS · Family Nurse Practitioner in Mississippi

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.