Kellie Distefano, PA-C
NPI 1386609543 · Family Medicine Physician · Hartford, MI
Kellie Distefano, PA-C is a Family Medicine Physician provider in Hartford, MI (NPI 1386609543).
Provider details
- NPI number
- 1386609543
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601002464 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-19
- Last updated
- 2007-12-18
Frequently asked questions
- What is Kellie Distefano's NPI number?
- Kellie Distefano's National Provider Identifier (NPI) is 1386609543, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellie Distefano's specialty?
- Kellie Distefano is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kellie Distefano located?
- Kellie Distefano's practice location on file with NPPES is 525 S Center St, Hartford, MI 49057-1362.
- What is Kellie Distefano's phone number?
- The practice phone number listed in the NPPES registry for Kellie Distefano is (269) 621-4063.
- Is Kellie Distefano's NPI active?
- Yes — Kellie Distefano's NPI (1386609543) is active in the NPPES registry as of the last update on 2007-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.