Individual provider Active NPI

Rebecca S. Decker, ARNP

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1922020049
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2591P Issued in KY
Practice address
1200 Breckenridge St
Owensboro, KY 42303-1090
Phone
(270) 683-8672
Fax
(270) 685-8223
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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 2591P KY Primary

Addresses

Primary practice location

1200 Breckenridge St
Owensboro, KY 42303-1090

Mailing address

1200 Breckenridge St
Owensboro, KY 42303-1089
Phone (270) 684-0028

Other identifiers 1

IdentifierTypeStateIssuer
78011293MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040214000009 KY Practitioner - Nurse Practitioner 5395639843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Louisville School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owensboro Medical Practice, PLLCGroup PAC ID 0446157671, 20 clinicians

Practice addresses (Care Compare)

1200 Breckenridge St
Owensboro, KY 42303-1089
Phone (270) 683-8672

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Medical Practice, PLLC Family CurrentSince Jan 1, 2026 Accepting new patients

Locations

210 S Cherry St
Greenville, KY 42345
Phone (270) 338-7210

1200 Breckenridge St
Ste 102
Owensboro, KY 42303
Phone (270) 683-8672

1200 Breckenridge St
Owensboro, KY 42303
Phone (270) 683-8672

1200 Breckenridge St
Ste 101
Owensboro, KY 42303
Phone (270) 683-8672

Interoperability endpoints

  • Direct secure messaging: rebecca.mabeaprn.p1@direct.omp.nextgenshare.com

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1922020049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BRECKENRIDGE ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031089",
            "telephone_number": "270-684-0028",
            "fax_number": "270-685-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BRECKENRIDGE ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031090",
            "telephone_number": "270-683-8672",
            "fax_number": "270-685-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "REBECCA",
        "middle_name": "S.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "2591P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78011293",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.