BETSY DANIELLE DISTELBURGER PA-C
NPI 1407378003
Physician Assistant - Medical in New York, NY

Active since July 14, 2017PECOS EnrolledAccepts Medicare Assignment
1000 10TH AVE, NEW YORK, NY 10019(212) 523-2229 Get Directions Write a Review

NPPES record last updated: July 14, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Betsy Danielle Distelburger Pa-c NPPES

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

BETSY DANIELLE DISTELBURGER PA-C (NPI 1407378003) is an individual medical provider in New York, New York and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1407378003
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBETSY DANIELLE DISTELBURGERCredential: PA-C
Location Address1000 10TH AVENew York, NY 10019-1147
Mailing Address140 Phillipsburg RdGoshen, NY 10924-6911 · (914) 213-4887
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 14, 2017
NPI 1407378003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1000 10TH AVE, New York, NY 10019

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Betsy Danielle Distelburger Pa-c 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 ID8224486709
PECOS Enrollment IDI20231121003222
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.

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.

Internal Medicine (Hematology)
1000 10TH AVE
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019
Emergency Medicine
1000 10TH AVE
NEW YORK, NY 10019
Pediatrics
1000 10TH AVE
NEW YORK, NY 10019
Radiology (Diagnostic Radiology)
1000 10TH AVE, SUITE 4B14
NEW YORK, NY 10019
Internal Medicine
1000 10TH AVE, ST. LUKE'S ROOSEVELT - DEPARTMENT OF INTERNAL MEDICINE
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019

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 Betsy Distelburger's NPI number?

The NPI number for Betsy Distelburger is 1407378003. It was assigned to this individual provider in the NPPES registry on July 14, 2017.

Where is Betsy Distelburger located?

Betsy Distelburger practices at 1000 10th Ave, New York, NY 10019. The listed phone number is (212) 523-2229.

What is Betsy Distelburger's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Betsy Distelburger enrolled in Medicare?

Yes. Betsy Distelburger 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.

When was this NPI record last updated?

The NPPES record for Betsy Distelburger was last updated on July 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.