Kellie Distefano, PA-C
Family Medicine Physician · Hartford, MI
Kellie Distefano, PA-C is a family medicine physician with a practice address in Hartford, Michigan, and NPI 1386609543, issued on Apr 19, 2006. Check the license (Michigan 5601002464, as entered in NPPES) on the Michigan Board of Medicine (LARA); the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kellie Distefano
- Credential
- PA-C
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 5601002464 MI
Self-reported in NPPES; status is on the state search - Practice location
- 525 S Center St, Hartford, MI 49057
- Phone
- (269) 621-4063
- Enumerated
- Apr 19, 2006
- Record last updated
- Dec 18, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (269) 621-9972
- Entity
- Type 1 · individual
Also registered at 525 S Center St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Tamara Gaishin, PA-CPhysician Assistant1508115965
- Laura Gonzalez, NPFamily Nurse Practitioner1306438288
- Jay Shah, M.D.Family Medicine Physician1487974663
- Ann Tapper, FNP-CNurse Practitioner1144992983
Verify Kellie Distefano in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
Search for license 5601002464Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2 family medicine physician records list a practice address in Hartford
They are 2 of the 54 NPPES records with a practice address in Hartford, and 6,013 family medicine physician records in Michigan. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 2 in Hartford → All 6,013 in Michigan → Every provider in Hartford →
Other family medicine physician records in Michigan
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- Layla Abbasi, MDWayne, MI1346177607
- Marisa Abbo, DORochester Hills, MI1184605388
- Cathleen Abbott, M.D.East Lansing, MI1275630501
- Leah Abbott, MDGwinn, MI1760987341
- Nina Abboud, DORochester Hills, MI1639750557
- Ryan Abboud, DOBingham Farms, MI1104353077
- Christina Abd, MDSterling Heights, MI1770371965
Common questions
What is Kellie Distefano, PA-C's NPI number?
Kellie Distefano, PA-C's National Provider Identifier (NPI) is 1386609543, issued on Apr 19, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kellie Distefano, PA-C located?
The NPPES record lists a practice address at 525 S Center St, Hartford, MI, 49057. Phone: (269) 621-4063. Providers update this record themselves, so call before visiting.
How can I verify Kellie Distefano, PA-C's license?
NPPES lists Michigan license number 5601002464, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.