NICOLE DESTEFANO CRNP
NPI 1982434908
Nurse Practitioner - Acute Care in Philadelphia, PA
About Nicole Destefano Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE DESTEFANO CRNP (NPI 1982434908) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP030151) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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
Nicole Destefano Crnp 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Nicole Destefano's NPI number?
The NPI number for Nicole Destefano is 1982434908. It was assigned to this individual provider in the NPPES registry on August 5, 2024.
Where is Nicole Destefano located?
Nicole Destefano practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-2366.
What is Nicole Destefano's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Nicole Destefano enrolled in Medicare?
Yes. Nicole 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 Nicole Destefano affiliated with any hospitals?
According to CMS data, Nicole Destefano is affiliated with Hospital Of Univ Of Pennsylvania.
When was this NPI record last updated?
The NPPES record for Nicole Destefano was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Nicole Destefano, CRNP · NPI 1982434908
Acute Care physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 5, 2024.
## Identity
- **NPI:** 1982434908 (Entity type: Individual)
- **Enumerated:** August 5, 2024
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** SP030151 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104-4238
- **Phone:** (215) 662-2366
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1982434908) · Data from the CMS NPPES public registry.