Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801639554 Individual Practitioner Female Practitioner

Kelly Distasio

Physician Assistant • Arlington, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelly Distasio is a certified Physician Assistant practicing in Arlington, VA. With approximately 1 years of clinical experience since completing medical education in 2025, Kelly Distasio delivers high-quality medical care to the local community at 1701 N GEORGE MASON DR.

Kelly Distasio accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1701 N George Mason Dr

Arlington, VA 222053610

Telephone 7032480111
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Arlington, VA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -10.9 yrs vs City Avg
City Avg: 11.9 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
76 Specialists

Practicing in Arlington, VA (4432 Statewide)

Telehealth Adoption Rate
23.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Distasio (1 Years) 1 Yrs
Arlington Specialty Average (11.9 Years) 11.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-02-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110011392

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1346618733

Family Nurse Practitioner (Board Certified)

Sheenna Marie Rogers , PA-C

Physician Assistant

NPI 1407114655

Physician Assistant (Certified)

NPI 1679675565

Doctor of Medicine (M.D.)

NPI 1730281528

Doctor of Medicine (M.D.)

Emilie Marcinkowski , PA-C

Physician Assistant - Surgical

NPI 1851079800

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location February 23, 2026

Registered at 1701 N GEORGE MASON DR, ARLINGTON, VA 222053610 (Tel: 7032480111)

📍
Updated Business Mailing Address February 23, 2026

Registered at 1701 N GEORGE MASON DR, ARLINGTON, VA 222053610

👤
Provider Name / Credentials Updated November 22, 2025

Recorded as KELLY DISTASIO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2025

Physician Assistant (License #0110011392 in VA)

NPI Profile Active June 18, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2024

Registered at 10900 EUCLID AVE, CLEVELAND, OH 441067506 (Tel: 2163680575)

📍
Updated Business Mailing Address June 18, 2024

Registered at 10900 EUCLID AVE, CLEVELAND, OH 441067506

👤
Provider Name / Credentials Updated June 18, 2024

Recorded as KELLY YI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 18, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801639554
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2024
Last Update: February 23, 2026
Sole Proprietor: No

Mailing Address

1701 N George Mason Dr

Arlington, VA 222053610

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.