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NICHOLAS DESTEFANO CRNA
NPI 1417031253
Nurse Anesthetist, Certified Registered in Tucson, AZ

Active since October 25, 2006Accepts Medicare Assignment
8500 N ORACLE RD STE 150, TUCSON, AZ 85704(520) 462-0220 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicholas Destefano Crna NPPES

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

NICHOLAS DESTEFANO CRNA (NPI 1417031253) is an individual nurse anesthetist, certified registered in Tucson, Arizona, licensed in Arizona (300626) and active in the NPI registry since October 2006. He maintains a secondary practice location in Albany and is a graduate of Other (2006).

NPPES Registry Identity

NPI1417031253
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameNICHOLAS DESTEFANOCredential: CRNA
Location Address8500 N ORACLE RD STE 150Tucson, AZ 85704-6511
Mailing Address1450 Western Ave Ste 102, Anesthesia Group Of Albany, PcAlbany, NY 12203-3539 · (518) 463-0050 · Fax (518) 207-2973
Phone(520) 462-0220
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 25, 2006
Last NPPES UpdateJune 5, 2025
NPPES CertifiedJune 5, 2025
✔ NPI 1417031253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in AZ · 300626✔ Licensed in NY · 524397
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
8500 N ORACLE RD STE 150, Tucson, AZ 85704
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Secondary Practice Location 1

Location 11450 Western Ave Ste 102, Anesthesia Group of Albany, PCAlbany, NY 12203-3539 · Phone (518) 463-0050 · Fax (518) 207-2973

Accepted Insurance

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

Nicholas Destefano Crna 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 ID547366643
PECOS Enrollment IDI20240627002747

Medicare Billing Reassignments

8

Medicare enrollment records show Nicholas Destefano reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Arizona Anesthesia Services, PC
6.6 mi
Anesthesiology
3390 N CAMPBELL AVE, STE 110
Tucson, AZ 85719
  • Reassigned Medicare billing, Arizona enrollment
  • 86 clinicians in this Medicare group
NPI 1912999343 (520) 795-7650
Ias Arizona PLLC
9.2 mi
Anesthesiology
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 264 clinicians in this Medicare group
NPI 1689359747 (520) 327-5461
Ascend Anesthesia LLC
83 mi
Nurse Anesthetist, Certified Registered
4620 E BASELINE RD
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • 298 clinicians in this Medicare group
NPI 1407642945 (623) 320-0660
Anesthesia Partners & Management LLC
1,642 mi
Nurse Anesthetist, Certified Registered
8273 GRAND RIVER RD STE 210
Brighton, MI 48114
  • Reassigned Medicare billing, Arizona enrollment
  • 370 clinicians in this Medicare group
NPI 1336530997 (480) 420-4027
St Marys Healthcare
2,124 mi
General Acute Care Hospital
427 GUY PARK AVE, ST MARYS HEALTHCARE PRIMARY CARE DEPT
Amsterdam, NY 12010
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St. Mary's Healthcare
  • 144 clinicians in this Medicare group
NPI 1518926401 (518) 841-7407
Kwiat Eye And Laser Surgery PLLC
2,125 mi
Ophthalmology
100 HOLLAND CIRCLE DR
Amsterdam, NY 12010
  • Reassigned Medicare billing, New York enrollment
  • 19 clinicians in this Medicare group
NPI 1275763468 (518) 842-3800
Schenectady Anesthesia Associates, P.C.
2,137 mi
Anesthesiology
1201 NOTT ST, SUITE 106
Schenectady, NY 12308
  • Reassigned Medicare billing, New York enrollment
  • 92 clinicians in this Medicare group
NPI 1457352411 (518) 374-3123
Albany Medical College
2,143 mi
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group
NPI 1497921688 (518) 262-9600

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 85704 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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.

ORO VALLEY SURGICAL SUITES LLC
Clinic/Center (Ambulatory Surgical)
8500 N ORACLE RD STE 150
ORO VALLEY, AZ 85704
Pima County (520) 462-0220

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 Nicholas Destefano's NPI number?

The NPI number for Nicholas Destefano is 1417031253. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Nicholas Destefano located?

Nicholas Destefano practices at 8500 N Oracle Rd Ste 150, Tucson, AZ 85704. The listed phone number is (520) 462-0220.

What is Nicholas Destefano's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Nicholas Destefano enrolled in Medicare?

Yes. Nicholas Destefano 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 organizations bill Medicare for Nicholas Destefano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Destefano reassigns Medicare benefits to 8 organizations: Southern Arizona Anesthesia Services, PC (Tucson, AZ), Ias Arizona PLLC (Tucson, AZ), Ascend Anesthesia LLC (Mesa, AZ), Anesthesia Partners & Management LLC (Brighton, MI), St Marys Healthcare (Amsterdam, NY) and 3 more organizations, listed in the Medicare section above. 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 Nicholas Destefano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Destefano accept?

Health plans from Blue Cross Blue Shield of Arizona list Nicholas 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 Nicholas Destefano was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.