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DR. JENNIFER DEMICHELE M.D.
NPI 1417199589
Pediatrics - Pediatric Critical Care Medicine in Las Vegas, NV

Active since April 03, 2009PECOS Enrolled
9732 MOUNT LOMPOC CT, LAS VEGAS, NV 89178(203) 801-8075(585) 442-6580 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 15, 2016, Sep 13, 2016 (2 updates tracked since 2016).

About Dr. Jennifer Demichele M.d. NPPES

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

DR. JENNIFER DEMICHELE M.D. (NPI 1417199589) is an individual pediatric critical care medicine provider in Las Vegas, Nevada, licensed in Nevada (16249) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2009).

NPPES Registry Identity

NPI1417199589
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. JENNIFER DEMICHELECredential: M.D.
Location Address9732 MOUNT LOMPOC CTLas Vegas, NV 89178-7511
Mailing Address1500 Concord TerSunrise, FL 33323-2815 · (800) 243-3839 · Fax (954) 851-1837
Phone(203) 801-8075
Fax(585) 442-6580
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2009
Enumeration DateApril 3, 2009
Last NPPES UpdateNovember 15, 20162 updates tracked since enumeration
✔ NPI 1417199589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in NV · 16249
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9732 MOUNT LOMPOC CT, Las Vegas, NV 89178
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer Demichele M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931408242
PECOS Enrollment IDI20170824001741
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

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

Pokroy Medical Group Of Nevada, Ltd.
12 mi
Neonatal-Perinatal Medicine
653 N TOWN CENTER DR STE 112
Las Vegas, NV 89144
  • Reassigned Medicare billing, Nevada enrollment
  • 150 clinicians in this Medicare group
NPI 1992809412 (702) 733-0981

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 Jennifer Demichele's NPI number?

The NPI number for Jennifer Demichele is 1417199589. It was assigned to this individual provider in the NPPES registry on April 3, 2009.

Where is Jennifer Demichele located?

Jennifer Demichele practices at 9732 Mount Lompoc Ct, Las Vegas, NV 89178. The listed phone number is (203) 801-8075.

What is Jennifer Demichele's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Jennifer Demichele enrolled in Medicare?

Yes. Jennifer Demichele is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Demichele's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Demichele reassigns Medicare benefits to Pokroy Medical Group Of Nevada, Ltd. (Las Vegas, NV). 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 Jennifer Demichele'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 Jennifer Demichele was last updated on November 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.