Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Courtney Destefano's specialty?

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

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: August 16, 2026.

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

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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

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Secondary Practice Locations 3

Location 1170 N Henderson Rd Ste 310King Of Prussia, PA 19406-2155 · Phone (267) 548-4172

Location 22418 E York StPhiladelphia, PA 19125-3006 · Phone (267) 548-4216

Location 3727 Welsh Rd Ste 310BHuntingdon Valley, PA 19006-6310 · Phone (267) 951-3328

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

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.

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

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.

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 7 days 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.