MR. GEORGE DESTEFANO RN
NPI 1235386913
Nurse Practitioner - Neonatal, Critical Care in Flagstaff, AZ
About Mr. George Destefano Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GEORGE DESTEFANO RN (NPI 1235386913) is an individual neonatal, critical care provider in Flagstaff, Arizona, licensed in Arizona (RN083316) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. George Destefano Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show George Destefano reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Flagstaff, AZ 86001
- Reassigned Medicare billing, Arizona enrollment
- 35 clinicians in this Medicare group
Cottonwood, AZ 86326
- Reassigned Medicare billing, Arizona enrollment
- 29 clinicians in this Medicare group
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 86001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLAGSTAFF, AZ 86001
FLAGSTAFF, AZ 86001
FLAGSTAFF, AZ 86001
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 George Destefano's NPI number?
The NPI number for George Destefano is 1235386913. It was assigned to this individual provider in the NPPES registry on August 25, 2008.
Where is George Destefano located?
George Destefano practices at 1200 N Beaver St, Flagstaff, AZ 86001. The listed phone number is (928) 779-3366.
What is George Destefano's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.
Is George Destefano enrolled in Medicare?
Yes. George Destefano is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for George Destefano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), George Destefano reassigns Medicare benefits to 2 organizations: Flagstaff Medical Center (Flagstaff, AZ) and Verde Valley Medical Center (Cottonwood, AZ). Each 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 George Destefano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does George Destefano accept?
Health plans from Blue Cross Blue Shield of Arizona list George Destefano 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 George Destefano was last updated on November 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mr. George Destefano, RN · NPI 1235386913
Neonatal, Critical Care physician in Flagstaff, Arizona. Individual provider, active in the CMS NPPES registry since August 25, 2008.
## Identity
- **NPI:** 1235386913 (Entity type: Individual)
- **Enumerated:** August 25, 2008
- **Primary specialty:** Nurse Practitioner - Neonatal, Critical Care · taxonomy 363LN0005X
- **State license:** RN083316 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1200 N BEAVER ST, Flagstaff, AZ 86001-3118
- **Phone:** (928) 779-3366
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Flagstaff Medical Center (NPI 1649370875, Flagstaff, AZ); Verde Valley Medical Center (NPI 1346291648, Cottonwood, AZ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2009
---
Source: [NPI Profile](https://npiprofile.com/npi/1235386913) · Data from the CMS NPPES public registry.