KRYSTA JEAN DEFTY PA-C NPI 1295089316

NPI Information

  • NPI: 1295089316
  • Provider Name: KRYSTA JEAN DEFTY, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 13770 PLANTATION RD
    SUITE 2
    FORT MYERS, FL
    ZIP 33912
  • Phone: (239) 275-0728

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NPI Details

Krysta Jean Defty, PA-C is a physician assistant in Fort Myers, FL. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Krysta Jean Defty, PA-C NPI is 1295089316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13770 PLANTATION RD
SUITE 2
FORT MYERS, FL
ZIP 33912-460
Phone: (239) 275-0728
Fax: (239) 275-6947

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Partial removal of large bowel and reattachment to rectum using an endoscope (HCPCS:44207)

The enumeration date for this NPI number is 10/29/2012 and was last updated on 12/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA9106963FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1398581OTHERFLORIDAAVMED
2GS255XMEDICARE PINFLORIDA
3P951597OTHERFLORIDAOPTIMUM
4Y0F3COTHERFLORIDABCBS FL INDIVIDUAL PROVIDER ID #
51249031OTHERFLORIDAWELLCARE
6P01480233OTHERFLORIDARR MEDICARE
71720187OTHERFLORIDACIGNA
85296786OTHERFLORIDAAETNA
9P1004057OTHERFLORIDAFREEDOM
10007345500MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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