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MR. DEMITTRE ANDRE ANTHONY SORENSON PA-C
NPI 1881264455
Physician Assistant - Medical in Maitland, FL

Active since June 28, 2021PECOS Enrolled
99.6/100
CMS Quality Rating
740 CONCOURSE PKWY S STE 200, MAITLAND, FL 32751(407) 644-4014 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2022, Sep 7, 2021, Aug 17, 2021 and 1 more (4 updates tracked since 2021).

About Mr. Demittre Andre Anthony Sorenson Pa-c NPPES

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

MR. DEMITTRE ANDRE ANTHONY SORENSON PA-C (NPI 1881264455) is an individual medical provider in Maitland, Florida, licensed in Florida (PA9114808) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881264455
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. DEMITTRE ANDRE ANTHONY SORENSONCredential: PA-C
Location Address740 CONCOURSE PKWY S STE 200Maitland, FL 32751-8101
Mailing Address4371 Veronica S Shoemaker BlvdFort Myers, FL 33916-2216 · (239) 274-8200
Phone(407) 644-4014
Sole ProprietorYes
Enumeration DateJune 28, 2021
Last NPPES UpdateSeptember 6, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2022
✔ NPI 1881264455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9114808
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
740 CONCOURSE PKWY S STE 200, Maitland, FL 32751
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Other Identifiers 1

Medicaid111483000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Demittre Andre Anthony Sorenson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
62 services61 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services37 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.27
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

ANDRIA MICHAEL MUSHAHWAR MD
Internal Medicine (Gastroenterology)
740 CONCOURSE PKWY S STE 200
MAITLAND, FL 32751
Orange County (407) 644-4014
CHRISTINA DALY FNP-BC
Nurse Practitioner (Family)
740 CONCOURSE PKWY S STE 200
MAITLAND, FL 32751
Orange County (407) 644-4222
DR. PAUL S PANZARELLA M.D.
Internal Medicine (Gastroenterology)
740 CONCOURSE PKWY S STE 200
MAITLAND, FL 32751
Orange County (407) 644-4014

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 Demittre Sorenson's NPI number?

The NPI number for Demittre Sorenson is 1881264455. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Where is Demittre Sorenson located?

Demittre Sorenson practices at 740 Concourse Pkwy S Ste 200, Maitland, FL 32751. The listed phone number is (407) 644-4014.

What is Demittre Sorenson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Demittre Sorenson enrolled in Medicare?

Yes. Demittre Sorenson is registered in the Medicare PECOS enrollment system.

What insurance does Demittre Sorenson accept?

Health plans from AmeriHealth Caritas Next, AvMed and Oscar Health Maintenance Organization of Florida list Demittre Sorenson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Demittre Sorenson was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.