ERICKA MARIE DISTEFANO FNP, ACUPUNCTURIST
NPI 1639749963
Nurse Practitioner - Family in Gwinn, MI

Active since June 29, 2021PECOS EnrolledAccepts Medicare Assignment
301 EXPLORER ST, GWINN, MI 49841(906) 346-9275(906) 372-3230 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 28, 2022, Jun 29, 2021 (2 updates tracked since 2021).

About Ericka Marie Distefano Fnp, Acupuncturist NPPES

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

ERICKA MARIE DISTEFANO FNP, ACUPUNCTURIST (NPI 1639749963) is an individual family provider in Gwinn, Michigan, licensed in Michigan (4704293102) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Uphs Marquette Dlp Hospital, and maintains a secondary practice location in Gwinn.

NPPES Registry Identity

NPI1639749963
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICKA MARIE DISTEFANOCredential: FNP, ACUPUNCTURIST
Location Address301 EXPLORER STGwinn, MI 49841-2813
Mailing Address301 Explorer StGwinn, MI 49841-2813 · (906) 346-9275 · Fax (906) 372-3230
Fax(906) 372-3230
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 29, 2021
Last NPPES UpdateFebruary 28, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2022
NPI 1639749963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704293102
301 EXPLORER ST, Gwinn, MI 49841

Secondary Practice Location 1

Location 1135 E M35Gwinn, MI 49841-9160 · Phone (906) 346-9275 · Fax (906) 372-3230

Accepted Insurance

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

Ericka Marie Distefano Fnp, Acupuncturist 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 ID3678970613
PECOS Enrollment IDI20210917002408
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
21 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Uphs Marquette Dlp Hospital

Acute Care Hospitals · Marquette, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230054
Location850 W Baraga AveMarquette, MI 49855 · Marquette County
Emergency services Birthing friendly

Up Health System Portage

Acute Care Hospitals · Hancock, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number230108
Location500 Campus DriveHancock, MI 49930 · Houghton County
Emergency services Birthing friendly

Schoolcraft Memorial Hospital

Critical Access Hospitals · Manistique, MI
OwnershipGovernment - Local
CMS Certification Number231303
Location7870W Us Highway 2Manistique, MI 49854 · Schoolcraft County
Emergency services

Baraga County Memorial Hospital

Critical Access Hospitals · L' Anse, MI
OwnershipGovernment - Local
CMS Certification Number231307
Location18341 Us Highway 41L' Anse, MI 49946 · Baraga County
Emergency services

Bell Hospital

Critical Access Hospitals · Ishpeming, MI
OwnershipProprietary
CMS Certification Number231321
Location901 Lakeshore DriveIshpeming, MI 49849 · Marquette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49841 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 19

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

Psychiatry & Neurology (Psychiatry)
301 EXPLORER ST
GWINN, MI 49841
Dental Hygienist
301 EXPLORER ST, SUITE B
GWINN, MI 49841
Dental Hygienist
301 EXPLORER ST
GWINN, MI 49841
Nurse Practitioner (Family)
301 EXPLORER ST
GWINN, MI 49841
Licensed Practical Nurse
301 EXPLORER ST
GWINN, MI 49841
Clinic/Center (Federally Qualified Health Center (FQHC))
301 EXPLORER ST
GWINN, MI 49841
Dental Hygienist
301 EXPLORER ST
GWINN, MI 49841
Family Medicine
301 EXPLORER ST
GWINN, MI 49841

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 Ericka Distefano's NPI number?

The NPI number for Ericka Distefano is 1639749963. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Ericka Distefano located?

Ericka Distefano practices at 301 Explorer St, Gwinn, MI 49841. The listed phone number is (906) 346-9275.

What is Ericka Distefano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ericka Distefano enrolled in Medicare?

Yes. Ericka Distefano 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.

What insurance does Ericka Distefano accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Ericka Distefano 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.

Is Ericka Distefano affiliated with any hospitals?

According to CMS data, Ericka Distefano is affiliated with Uphs Marquette Dlp Hospital, Up Health System Portage, Schoolcraft Memorial Hospital, Baraga County Memorial Hospital and Bell Hospital.

When was this NPI record last updated?

The NPPES record for Ericka Distefano was last updated on February 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.