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NPI · 1386609543 · NPPES-sourced

Kellie Distefano PA-C

ActiveFamily Medicine
NPI Number
1386609543
Type 1 · Individual
Taxonomy Code
207Q00000X
Contact
(269) 621-4063
License MI · 5601002464
Last Updated
Enumerated
Primary practice addressMI · 49057-1362
525 S Center StHartford, MI 49057-1362
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About this NPIWhat this record shows.

NPI 1386609543 is registered to Kellie Distefano PA-C, a Family Medicine practising at 525 S Center St in Hartford, Michigan. Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment. Kellie Distefano PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 06116AMI· Issued by BHP PROVIDER ID #
  • 381368745126MI· Issued by CCM BILLING # FOR PA-C
  • 101465MI· Issued by GLHP PIN #
  • KD002464MI· Issued by BCBS PROVIDER ID #
  • KD09184MI· Issued by HPM PROVIDER ID #

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Kellie Distefano PA-C accepts. To confirm in-network status with your specific health plan, contact Kellie Distefano PA-C directly at (269) 621-4063.

Frequently asked

Yes. NPI 1386609543 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (269) 621-4063.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Kellie Distefano PA-C is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207Q00000X
Last updated
Enumerated
StatusActive
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4 records · same addressOther providers at this location.

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Same specialtyOther Family Medicine providers in Michigan.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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