Active NPI
Pete M. Decuir, APRN (N.P)
- Nurse Practitioner
- Stuart, FL
National Provider Identifier
1912927781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9443567
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9443567 | FL | MD | Nurse Practitioner |
| 173962 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimus Care Physician Services PLLC | Current | 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.
-
- Family Medicine Physician
- Port St Lucie, FL
- NPI 1184006892
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
Nurse Practitioner
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.