ANDREA DISTEFANO (FNP-BC) – Family Nurse Practitioner, NPI 1639580236

ANDREA DISTEFANO (FNP-BC) is a healthcare provider. based in Ponte vedra beach, Florida. specializing in Family Nurse Practitioner. They hold the professional credentials FNP-BC. They hold a License No. 9262502 (FL). The NPI Number for ANDREA DISTEFANO (FNP-BC) is 1639580236

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA DISTEFANO (FNP-BC)
NPI
1639580236
Phone
(904) 273-2717
Address
103 SOLANA RD
Enumeration Date
16 May 2014
Last Update Date
14 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042492588
Graduation Year
2013 (13 years ago)
PAC ID
2365797511
Group Practice PAC ID
9133190549
Professional Enrollment ID
I20180612002728
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for ANDREA DISTEFANO (FNP-BC)

  • 103 SOLANA RD

    SUITE B

    PONTE VEDRA BEACH, FL 320822231

    Phone: (904) 273-2717

    Fax: (904) 273-0410

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $841.

Total Amount is formed as General ($841) + Research ($0) + Ownership ($0) = $841.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($561).

Total Amount

$841

General + Research + Ownership

Payments

37

Total payment records

General Amount

$841

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32082)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133190549View full group profile
NameSpecialtyState
D E R M A T O L O G YFL
Physician AssistantWI
D E R M A T O L O G YFL
Physician AssistantOR
D E R M A T O L O G YWA
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
-FL
-FL

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Frequently asked questions

Does ANDREA DISTEFANO (FNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ANDREA DISTEFANO (FNP-BC) uses 1639580236.
Is ANDREA DISTEFANO (FNP-BC) still practicing?
ANDREA DISTEFANO (FNP-BC) is currently listed as active in the public NPI registry.
What healthcare role does ANDREA DISTEFANO (FNP-BC) hold?
Scheduling teams often label ANDREA DISTEFANO (FNP-BC) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for ANDREA DISTEFANO (FNP-BC)?
ANDREA DISTEFANO (FNP-BC)'s geographic hint is Ponte Vedra Beach, Florida in our summary view.
Is the information about ANDREA DISTEFANO (FNP-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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