Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ericka Marie Distefano, FNP, ACUPUNCTURIST

Individual provider Family Nurse Practitioner · NPI 1639749963

Ericka Marie Distefano, FNP, ACUPUNCTURIST is a Nurse Practitioner in Gwinn, Michigan. Qualified in 2021, 5 years ago. Practices with Dlp Marquette Physician Practices Inc, a 190-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

301 Explorer St
Gwinn, MI 49841-2813
Phone: (906) 346-9275
Fax: (906) 372-3230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 135 E M35, Gwinn, MI 49841-9160 — (906) 346-9275

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704293102 (MI)

Record details

NPI number1639749963
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP , ACUPUNCTURIST
Sole proprietorNo
NPI enumeratedJune 29, 2021
Last updated in NPPESFebruary 28, 2022
Certification dateFebruary 28, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Dlp Marquette Physician Practices Inc — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Gwinn