1. Home
  2. Directory
  3. New Jersey
  4. Marlton
  5. Nurse Practitioner
  6. NPI Profile

COURTNEY DESTEFANO
NPI 1780219410
Nurse Practitioner - Family in Marlton, NJ

Active since March 03, 2020PECOS EnrolledAccepts Medicare Assignment
5 GREENTREE CENTER, SUITE 117, MARLTON, NJ 08053(856) 528-7082 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2026, Sep 14, 2025, Mar 3, 2020 (3 updates tracked since 2020).

About Courtney Destefano NPPES

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

COURTNEY DESTEFANO (NPI 1780219410) is an individual family provider in Marlton, New Jersey, licensed in New Jersey (26NJ01015900) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2019).

NPPES Registry Identity

NPI1780219410
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOURTNEY DESTEFANO
Location Address5 GREENTREE CENTER, SUITE 117Marlton, NJ 08053-3422
Mailing Address2418 E York StPhiladelphia, PA 19125-3006 · (267) 887-0013 · Fax (215) 392-7992
Phone(856) 528-7082
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2019
Enumeration DateMarch 3, 2020
Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1780219410 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 NJ · 26NJ01015900
5 GREENTREE CENTER, Marlton, NJ 08053
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1727 Welsh Rd Ste 310BHuntingdon Valley, PA 19006-6310 · Phone (267) 951-3328
Location 22418 E York StPhiladelphia, PA 19125-3006 · Phone (267) 548-4216
Location 3170 N Henderson Rd Ste 310King Of Prussia, PA 19406-2155 · Phone (267) 548-4172

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

Courtney Destefano 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 ID1254741226
PECOS Enrollment IDI20201102002195, I20251027003996
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.

Medicare Billing Reassignments

9

Medicare enrollment records show Courtney Destefano reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Samaritan Homevisit Physicians PC
1.5 mi
Internal Medicine
3906 CHURCH RD
Mount Laurel, NJ 08054
  • Reassigned Medicare billing, New Jersey enrollment
  • 20 clinicians in this Medicare group
NPI 1366088858 (856) 552-3261
Revascmedprofessional Nj LLC
2.4 mi
Interventional Cardiology
525 ROUTE 73 N STE 117
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1154078202 (215) 575-5906
Revascmedprofessionals PC
10 mi
Cardiovascular Disease
2418 E YORK ST
Philadelphia, PA 19125
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7 clinicians in this Medicare group
NPI 1669074795 (267) 887-0013
Pulse Vascular, LLC
32 mi
Vascular & Interventional Radiology
994 W SHERMAN AVE BLDG 2
Vineland, NJ 08360
  • Reassigned Medicare billing, New Jersey enrollment
  • 59 clinicians in this Medicare group
NPI 1255899704 (631) 534-7246
Community Health Care, Inc.
36 mi
Federally Qualified Health Center (FQHC)
30 NORTH PEARL STREET
Bridgeton, NJ 08302
  • Reassigned Medicare billing, New Jersey enrollment
  • 281 clinicians in this Medicare group
NPI 1700816816 (856) 451-4700
Hc Pennsylvania P.C.
42 mi
Multi-Specialty
15 AMERICA AVE UNIT 103
Lakewood, NJ 08701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 6 clinicians in this Medicare group
NPI 1508754227 (732) 631-4358
Ennoble Hc Nj PC
84 mi
Geriatric Medicine
2 UNIVERSITY PLZ
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 115 clinicians in this Medicare group
NPI 1306500764 (973) 435-9463
Ennoble Hc Nj II PC
84 mi
Geriatric Medicine
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 90 clinicians in this Medicare group
NPI 1871475806 (551) 295-8223
Ennoble Hc Nj III PC
84 mi
Geriatric Medicine
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 90 clinicians in this Medicare group
NPI 1043192099 (551) 295-8223

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
77 services64 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
39 services36 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
31 services24 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
21 services21 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08053 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier13 claims13 services$32.43 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$31.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

SHANNON MARY CARRES PA-C
Psychiatry & Neurology (Psychiatry)
5 GREENTREE CENTER, SUITE 117
MARLTON, NJ 08053
Burlington County (609) 484-0106
VINCENT VARGHESE D.O.
Internal Medicine (Cardiovascular Disease)
5 GREENTREE CENTER, SUITE 117
MARLTON, NJ 08053
Burlington County (609) 820-2430
SARAH COUPAL RD
Dietitian, Registered
5 GREENTREE CENTER, SUITE 117
MARLTON, NJ 08053
Burlington County (646) 390-5066

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 Courtney Destefano's NPI number?

The NPI number for Courtney Destefano is 1780219410. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Where is Courtney Destefano located?

Courtney Destefano practices at 5 Greentree Center Suite 117, Marlton, NJ 08053. The listed phone number is (856) 528-7082.

What is Courtney Destefano's specialty?

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

Is Courtney Destefano enrolled in Medicare?

Yes. Courtney 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 Courtney Destefano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Destefano reassigns Medicare benefits to 9 organizations: Samaritan Homevisit Physicians PC (Mount Laurel, NJ), Revascmedprofessional Nj LLC (Marlton, NJ), Revascmedprofessionals PC (Philadelphia, PA), Pulse Vascular, LLC (Vineland, NJ), Community Health Care, Inc. (Bridgeton, NJ) and 4 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 Courtney Destefano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Courtney Destefano was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.