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

Kimberly K Decker, PA

Individual provider Physician Assistant · NPI 1164472619

Kimberly K Decker, PA is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2005, 21 years ago. Practices with Advanced Radiology Services PC, a 252-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2006
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

3355 Eagle Park Dr NE Ste 103
Grand Rapids, MI 49525-7004
Phone: (616) 942-7400
Fax: (616) 942-7405
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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 5601004650 (MI)

Record details

NPI number1164472619
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESMay 19, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Advanced Radiology Services Pc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations17 on file with Medicare

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