Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kathryn E Decker, PA

Individual provider Physician Assistant · NPI 1558657064

Kathryn E Decker, PA is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2011, 15 years ago. Practices with Healtheast Medical Research Institute, a 678-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Pennsylvania.

Years since qualifying
15
Licensed in
MN, PA
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone: (612) 672-7422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12780 (MN)
Physician Assistant Taxonomy 363A00000X · Licence MA054902 (PA)

Record details

NPI number1558657064
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 22, 2011
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Healtheast Medical Research Institute — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations12 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients43
Services billed 61 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • M Health Fairview Southdale Hospital Hospital · Edina, MN

Colleagues at Healtheast Medical Research Institute

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 678 clinicians in the practice; 12 are shown here.

Other providers in Minneapolis