MICHELLE DEAMICIS NP
NPI 1689474801
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since March 17, 2025PECOS EnrolledAccepts Medicare Assignment
4840 N MARINE DR, CHICAGO, IL 60640(773) 977-4031 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 12, 2025, Mar 17, 2025 (2 updates tracked since 2025).

About Michelle Deamicis Np NPPES

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

MICHELLE DEAMICIS NP (NPI 1689474801) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209030760) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1689474801
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMICHELLE DEAMICISCredential: NP
Location Address4840 N MARINE DRChicago, IL 60640-7860
Mailing Address2501 Chatham RdSpringfield, IL 62704-4188 · (312) 428-6961
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 17, 2025
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
NPI 1689474801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IL · 209030760
4840 N MARINE DR, Chicago, IL 60640

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michelle Deamicis Np 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 ID9133617483
PECOS Enrollment IDI20251020002264
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
4840 N MARINE DR, C/O CHGO LAKESHORE HOSPITAL
CHICAGO, IL 60640
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4840 N MARINE DR
CHICAGO, IL 60640
Psychiatric Hospital
4840 N MARINE DR
CHICAGO, IL 60640
Counselor (Professional)
4840 N MARINE DR
CHICAGO, IL 60640
Counselor (Mental Health)
4840 N MARINE DR
CHICAGO, IL 60640
Nurse Practitioner (Family)
4840 N MARINE DR
CHICAGO, IL 60640
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4840 N MARINE DR
CHICAGO, IL 60640
Psychiatry & Neurology (Psychiatry)
4840 N MARINE DR
CHICAGO, IL 60640

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689474801, enumerated as an "individual" on March 17, 2025.

The provider is located at 4840 N MARINE DR CHICAGO, IL 60640 and the phone number is (773) 977-4031.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.