STACEY MARIE DEMONBREUN
NPI 1134936156
Student in an Organized Health Care Education/Training Program in Madisonville, LA

Active since December 12, 2024Accepts Medicare Assignment
312 BROWN THRASHER LOOP S, MADISONVILLE, LA 70447(850) 510-1798 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stacey Marie Demonbreun NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY MARIE DEMONBREUN (NPI 1134936156) is an individual student in an organized health care education/training program in Madisonville, Louisiana and active in the NPI registry since December 2024. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1134936156
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTACEY MARIE DEMONBREUN
Location Address312 BROWN THRASHER LOOP SMadisonville, LA 70447-3033
Mailing Address312 Brown Thrasher Loop SMadisonville, LA 70447-3033 · (850) 510-1798
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateDecember 12, 2024
NPPES CertifiedDecember 12, 2024
✔ NPI 1134936156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedRegistered NurseTaxonomy 163W00000X · License 218595 (LA)
312 BROWN THRASHER LOOP S, Madisonville, LA 70447

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacey Marie Demonbreun is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911461892
PECOS Enrollment IDI20260711000132

Medicare Billing Reassignment

Medicare enrollment records show Stacey Demonbreun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
1300 MICCOSUKEE RD
Tallahassee, FL 32308
  • Reassigned Medicare billing, Florida enrollment
  • 171 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Demonbreun's NPI number?

The NPI number for Stacey Demonbreun is 1134936156. It was assigned to this individual provider in the NPPES registry on December 12, 2024.

Where is Stacey Demonbreun located?

Stacey Demonbreun practices at 312 Brown Thrasher Loop S, Madisonville, LA 70447. The listed phone number is (850) 510-1798.

What is Stacey Demonbreun's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stacey Demonbreun enrolled in Medicare?

Yes. Stacey Demonbreun is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Stacey Demonbreun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Demonbreun reassigns Medicare benefits to Anesthesiology Associates Of Tallahassee Inc (Tallahassee, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Demonbreun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacey Demonbreun was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.