KAITLYN DESTEFANO DO
NPI 1598406241
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since April 06, 2022PECOS EnrolledAccepts Medicare Assignment
PO BOX 800710, CHARLOTTESVILLE, VA 22908(434) 982-0629(434) 982-0019 Get Directions Write a Review

NPPES record last updated: June 15, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 15, 2025, Apr 6, 2022 (2 updates tracked since 2022).

About Kaitlyn Destefano Do NPPES

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

KAITLYN DESTEFANO DO (NPI 1598406241) is an individual student in an organized health care education/training program in Charlottesville, Virginia, licensed in Virginia (0102209361) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Cjw Medical Center, and is a graduate of University Of New England, College Of Osteo Medicine (2022).

NPPES Registry Identity

NPI1598406241
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAITLYN DESTEFANOCredential: DO
Location AddressPO BOX 800710Charlottesville, VA 22908-0816
Mailing AddressPo Box 800710Charlottesville, VA 22908-0816 · (434) 982-0629 · Fax (434) 982-0019
Fax(434) 982-0019
Sole ProprietorYes
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2022
Enumeration DateApril 6, 2022
Last NPPES UpdateJune 15, 20252 updates tracked since enumeration
NPPES CertifiedJune 15, 2025
NPI 1598406241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in VA · 0102209361
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
PO BOX 800710, Charlottesville, VA 22908

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

Kaitlyn Destefano Do 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 ID6204348329
PECOS Enrollment IDI20251005000116
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cjw Medical Center

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number490112
Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County
Emergency services

Other Providers at the Same Location NPPES

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

Student in an Organized Health Care Education/Training Program
PO BOX 800710
CHARLOTTESVILLE, VA 22908

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 Kaitlyn Destefano's NPI number?

The NPI number for Kaitlyn Destefano is 1598406241. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Kaitlyn Destefano located?

Kaitlyn Destefano practices at PO Box 800710, Charlottesville, VA 22908. The listed phone number is (434) 982-0629.

What is Kaitlyn Destefano's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kaitlyn Destefano enrolled in Medicare?

Yes. Kaitlyn 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.

Is Kaitlyn Destefano affiliated with any hospitals?

According to CMS data, Kaitlyn Destefano is affiliated with Cjw Medical Center.

When was this NPI record last updated?

The NPPES record for Kaitlyn Destefano was last updated on June 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.