Individual provider Active NPI

Kaylee Anne Destito, FNP

  • Family Nurse Practitioner
  • Utica, NY
National Provider Identifier
1497285944
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F341772-1 Issued in NY
Practice address
1001 Noyes Street
Utica, NY 13502-4400
Phone
(315) 624-9470
Fax
(315) 922-9502
NPI assigned
Jun 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F341772-1 NY Primary

Addresses

Primary practice location

1001 Noyes Street
Utica, NY 13502-4400

Mailing address

1001 Noyes Street
Utica, NY 13502-4400
Phone (315) 624-9470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180503001967 NY Practitioner - Nurse Practitioner 4284998931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB/GYN Associates of Central New York, PCGroup PAC ID 8527038702, 3 clinicians

Practice addresses (Care Compare)

3 Parkside CT
Utica, NY 13501-5643
Phone (315) 724-6787

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
341772NYMDLicensed Practical Nurse
F341772-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
OB/GYN Associates of Central New York, P.C. CurrentSince Jan 30, 2018 Accepting new patients
Utica Urologic Associates, P.C. PastSince Jan 30, 2018 Accepting new patients

Locations

3 Parkside Ct
Ste 3
Utica, NY 13501

3 Parkside Ct
Utica, NY 13501
Phone (315) 724-4286

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1497285944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NOYES STREET",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024400",
            "telephone_number": "315-624-9470",
            "fax_number": "315-922-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NOYES STREET",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024400",
            "telephone_number": "315-624-9470",
            "fax_number": "315-922-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTITO",
        "first_name": "KAYLEE",
        "middle_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341772-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.