Individual provider Active NPI

Pete M. Decuir, APRN (N.P)

  • Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1912927781
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9443567 Issued in FL
Practice address
2392 SE Ocean Blvd
Stuart, FL 34996-3310
Phone
(772) 223-4978
Fax
(772) 223-2847
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 002695 CT
Nurse Practitioner 363L00000X 173962 MA
Nurse Practitioner 363L00000X ARNP9443567 FL Primary

Addresses

Primary practice location

2392 SE Ocean Blvd
Stuart, FL 34996-3310

Mailing address

2392 SE Ocean Blvd
Stuart, FL 34996-3310
Phone (772) 223-4978

Other practice location 1

2150 Main St
Springfield, MA 01104-3300
Phone (413) 739-5676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161119000082 FL Practitioner - Nurse Practitioner 7719964931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimus Care Physician Services PLLCGroup PAC ID 0840505525, 9 clinicians

Practice addresses (Care Compare)

2550 SE Walton Rd
Port St Lucie, FL 34952-7168
Phone (772) 335-0400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9443567FLMDNurse Practitioner
173962MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optimus Care Physician Services PLLC CurrentSince Oct 20, 2016 Accepting new patients
Baystate Medical Practices, Inc Nurse Practitioner Past Accepting new patients

Locations

2550 SE Walton Rd
Port St Lucie, FL 34952
Phone (772) 335-0400

222 Purchase St
#109
Rye, NY 10580

Organizations & group practices 2

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912927781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2392 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963310",
            "telephone_number": "772-223-4978",
            "fax_number": "772-223-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2392 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963310",
            "telephone_number": "772-223-4978",
            "fax_number": "772-223-2847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Main St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011043300",
            "country_code": "US",
            "telephone_number": "413-739-5676",
            "fax_number": "413-739-2278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECUIR",
        "first_name": "PETE",
        "middle_name": "M.",
        "credential": "APRN (N.P)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "002695",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "173962",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9443567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.