Individual provider Active NPI

Yvette Jean Decker

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1992387054
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
247212 Issued in AZ
Practice address
11047 N 19TH Ave
Phoenix, AZ 85029-4816
Phone
(602) 589-0500
Fax
(602) 314-4552
NPI assigned
Apr 27, 2021
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 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 247212 AZ Primary

Addresses

Primary practice location

11047 N 19TH Ave
Phoenix, AZ 85029-4816

Mailing address

11047 N 19TH Ave
Phoenix, AZ 85029-4816
Phone (602) 589-0500

Other practice location 1

8046 E Yavapai Rd
Prescott Valley, AZ 86314-8442
Phone (602) 589-0500

Other practice location 2

137 E Fort Lowell Rd
Tucson, AZ 85705-3920
Phone (602) 589-0500

Other practice location 3

13555 W McDowell Rd Ste 201
Goodyear, AZ 85395-2630
Phone (602) 589-0500

Other practice location 4

203 S Candy Ln Ste 6B
Cottonwood, AZ 86326-8112
Phone (602) 589-0500

Other practice location 5

13967 W Grand Ave
Surprise, AZ 85374-3732
Phone (602) 589-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220707001936 AZ Practitioner - Nurse Practitioner 9436539558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sun Pain Management PLLCGroup PAC ID 6800986340, 10 clinicians

Practice addresses (Care Compare)

11047 N 19TH Ave
Phoenix, AZ 85029-4816
Phone (602) 589-0500

7200 W Bell Rd
Suite F101
Glendale, AZ 85308-8535
Phone (602) 795-8700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247212AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Spine and Pain Specialists LLC CurrentSince Jun 20, 2022 Accepting new patients
Sun Pain Management, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Arizona Spine and Pain Specialists LLC CurrentSince Jun 20, 2022 Accepting new patients
Apex Integrated Care PLLC Past Accepting new patients
Integrity Pain and Anesthesia PLLC Past Accepting new patients
Atlantis Medical Group Az PLLC Past Accepting new patients

Locations

203 S Candy Ln
Ste 6B
Cottonwood, AZ 86326
Phone (928) 649-1559

20280 N 59th Ave
Ste 115610
Glendale, AZ 85308

20280 N 59th Ave
Ste 115617
Glendale, AZ 85308

7200 W Bell Rd
Ste F101
Glendale, AZ 85308
Phone (623) 776-9111

13555 W McDowell Rd
Ste 201
Goodyear, AZ 85395
Phone (602) 246-9006

11047 N 19th Ave
Phoenix, AZ 85029
Phone (602) 944-0072

11047 N 19th Ave
Ste 103
Phoenix, AZ 85029

4222 E Camelback Rd
Ste H150
Phoenix, AZ 85018
Phone (602) 509-0500

8046 E Yavapai Rd
Prescott Vly, AZ 86314
Phone (602) 671-1700

14506 W Granite Valley Dr
#209
Sun City West, AZ 85375

137 E Fort Lowell Rd
Tucson, AZ 85705
Phone (520) 393-8060

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJIBDA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1992387054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11047 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294816",
            "telephone_number": "602-589-0500",
            "fax_number": "602-314-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11047 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294816",
            "telephone_number": "602-589-0500",
            "fax_number": "602-314-4552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8046 E Yavapai Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863148442",
            "country_code": "US",
            "telephone_number": "602-589-0500",
            "fax_number": "602-314-4552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "137 E Fort Lowell Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857053920",
            "country_code": "US",
            "telephone_number": "602-589-0500",
            "fax_number": "602-314-4552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13555 W McDowell Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853952630",
            "country_code": "US",
            "telephone_number": "602-589-0500",
            "fax_number": "602-314-4552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 S Candy Ln Ste 6B",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863268112",
            "country_code": "US",
            "telephone_number": "602-589-0500",
            "fax_number": "602-314-4552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13967 W Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853743732",
            "country_code": "US",
            "telephone_number": "602-589-0500",
            "fax_number": "602-314-4552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKER",
        "first_name": "YVETTE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "247212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.