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

Elizabeth M Decker

Individual provider Family Nurse Practitioner · NPI 1114688439

Elizabeth M Decker is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2021, 5 years ago. Practices with Legacy Clinics LLC, a 718-clinician group and accepts Medicare assignment. Licensed in Kentucky and Oregon.

Years since qualifying
5
Licensed in
KY, OR
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

10490 Shelbyville Rd
Louisville, KY 40223-3120
Phone: (502) 245-8853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10016062 (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3017163 (KY)

Record details

NPI number1114688439
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 8, 2022
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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