DOREEN DESTEFANO
NPI 1215417951
Nurse Practitioner - Adult Health in Fort Myers, FL

Q: What is Doreen Destefano's NPI number?

The NPI number for Doreen Destefano is 1215417951. It was assigned to this individual provider in the NPPES registry on August 21, 2018.

Q: What is Doreen Destefano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: Is Doreen Destefano enrolled in Medicare?

No. Doreen Destefano has opted out of Medicare through October 5, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Doreen Destefano was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since August 21, 2018Opted out of Medicare · through Oct 5, 2026

12734 KENWOOD LN STE 84, FORT MYERS, FL 33907(239) 425-2900(239) 791-1072 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2019, Feb 9, 2019, Aug 21, 2018 (3 updates tracked since 2018).

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About Doreen Destefano NPPES

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

DOREEN DESTEFANO (NPI 1215417951) is an individual adult health provider in Fort Myers, Florida, licensed in Florida (APRN1100138) and active in the NPI registry since August 2018. She has opted out of Medicare through October 5, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1215417951

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameDOREEN DESTEFANO

Location Address12734 KENWOOD LN STE 84Fort Myers, FL 33907-5638

Mailing Address12734 Kenwood Ln Ste 84Fort Myers, FL 33907-5638 · (239) 425-2900 · Fax (239) 791-1072

Phone(239) 425-2900

Fax(239) 791-1072

Sole ProprietorYes

Enumeration DateAugust 21, 2018

Last NPPES UpdateMarch 13, 20193 updates tracked since enumeration

✔ NPI 1215417951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · APRN1100138

12734 KENWOOD LN STE 84, Fort Myers, FL 33907

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Doreen Destefano has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 5, 2020 through October 5, 2026.

Opt-Out Effective DateOctober 5, 2020

Opt-Out In Effect ThroughOctober 5, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33907 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MC RV FOR GROWTH LLC

In Home Supportive Care

12734 KENWOOD LN STE 84
FORT MYERS, FL 33907

Lee County (786) 285-4858

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 Doreen Destefano's NPI number?

The NPI number for Doreen Destefano is 1215417951. It was assigned to this individual provider in the NPPES registry on August 21, 2018.

Where is Doreen Destefano located?

Doreen Destefano practices at 12734 Kenwood Ln Ste 84, Fort Myers, FL 33907. The listed phone number is (239) 425-2900.

What is Doreen Destefano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Doreen Destefano enrolled in Medicare?

No. Doreen Destefano has opted out of Medicare through October 5, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Doreen Destefano was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.