1. Home
  2. Directory
  3. Connecticut
  4. New Haven
  5. Nurse Practitioner
  6. NPI Profile

MICHAEL DISTASIO
NPI 1194580795
Nurse Practitioner - Family in New Haven, CT

Active since February 14, 2024PECOS EnrolledAccepts Medicare Assignment
YALE NEW HAVEN HEALTH, 789 HOWARD AVENUE, NEW HAVEN, CT 06460(203) 430-6379 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Distasio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL DISTASIO (NPI 1194580795) is an individual family provider in New Haven, Connecticut, licensed in Connecticut (14094) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194580795
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL DISTASIO
Location AddressYALE NEW HAVEN HEALTH, 789 HOWARD AVENUENew Haven, CT 06460
Mailing Address69 Carriage Path SMilford, CT 06460-7544
Phone(203) 430-6379
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 14, 2024
Last NPPES UpdateDecember 5, 2024
NPPES CertifiedDecember 5, 2024
✔ NPI 1194580795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 14094
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 154019 (CT)
YALE NEW HAVEN HEALTH, New Haven, CT 06460
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Distasio is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860922358
PECOS Enrollment IDI20250213001027
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Distasio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yale University
6.8 mi
Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
NPI 1124148887 (203) 737-5432

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06460 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Distasio's NPI number?

The NPI number for Michael Distasio is 1194580795. It was assigned to this individual provider in the NPPES registry on February 14, 2024.

Where is Michael Distasio located?

Michael Distasio practices at Yale New Haven Health 789 Howard Avenue, New Haven, CT 06460. The listed phone number is (203) 430-6379.

What is Michael Distasio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Distasio enrolled in Medicare?

Yes. Michael Distasio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michael Distasio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Distasio reassigns Medicare benefits to Yale University (New Haven, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Distasio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Distasio accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael Distasio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Distasio was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.