Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alyssa Decker, DO

Individual provider Pediatrics Physician · NPI 1104447218

Alyssa Decker, DO is a Pediatrics Physician in Maplewood, Minnesota. Works from 2 locations. Licensed in Illinois and Minnesota.

Licensed in
IL, MN
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2165 White Bear Ave N
Maplewood, MN 55109-2707
Phone: (651) 523-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 — (503) 307-4888

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 74929 (MN)
Pediatrics Physician Taxonomy 208000000X · Licence 125.075864 (IL)

Record details

NPI number1104447218
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 29, 2020
Last updated in NPPESAugust 3, 2023
Certification dateDecember 14, 2020
Mailing address530 Ne Glen Oak Ave, Peoria, IL 61637-0001

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