Kelly Distasio
Physician Assistant · Arlington, VA
Kelly Distasio is a physician assistant with a practice address in Arlington, Virginia, and NPI 1801639554, issued on Jun 18, 2024. Check the license (Virginia 0110011392, as entered in NPPES) with the Virginia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kelly Distasio
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 0110011392 VA
Self-reported in NPPES; status is on the state search - Practice location
- 1701 N George Mason Dr, Arlington, VA 22205
- Phone
- (703) 248-0111
- Enumerated
- Jun 18, 2024
- Record last updated
- Feb 23, 2026
- Medicare enrollment
- Enrolled (PECOS I20260418000417); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,408 in Virginia → Look up another NPI →
Also registered at 1701 N George Mason Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Kelly Distasio in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Virginia board licenses this profession
Search for license 0110011392Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kelly Distasio among 4,408 physician assistant records in Virginia
Kelly Distasio is one of 4,408 physician assistant records with a practice address in Virginia. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2024, is newer than 82% of them.
- NPI issued2024 · 82% of these records are older, 12% newer
- In a Medicare fileNo · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2025 · median 2018 among the 2,885 with a school on file
- Record last updated2026 · 33% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
75 physician assistant records list a practice address in Arlington
They are 75 of the 3,510 NPPES records with a practice address in Arlington, and 4,408 physician assistant records in Virginia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 4,408 in Virginia → Every provider in Arlington → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Almas Abbas, PAArlington, VA 222051962598847
- Jessica Biagas, PA-CArlington, VA 222051063740876
- Reade Bush, PA-CArlington, VA 222051861442261
- Suzanne Dahl, PAArlington, VA 222051184707705
- Diana Dewolfe, P.A.Arlington, VA 222051366594962
- Kevin Henry, PA-CArlington, VA 222051750370508
- Debra Herrmann, PAArlington, VA 222051457310898
- Magdalena Lewandowski, P.A.Arlington, VA 222051629054853
Common questions
What is Kelly Distasio's NPI number?
Kelly Distasio's National Provider Identifier (NPI) is 1801639554, issued on Jun 18, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Distasio located?
The NPPES record lists a practice address at 1701 N George Mason Dr, Arlington, VA, 22205. Phone: (703) 248-0111. Providers update this record themselves, so call before visiting.
How can I verify Kelly Distasio's license?
NPPES lists Virginia license number 0110011392, as entered by the provider. Search the Virginia board that licenses this profession; the NPPES record confirms identity only.
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.