MICHELLE R DEMENKOW, PA
NPI 1962435271
Nurse Practitioner - Psychiatric/Mental Health in Sunrise, FL

Q: What is Michelle R Demenkow, PA's NPI number?

The NPI number for Michelle R Demenkow, PA is 1962435271. It was assigned to this organization in the NPPES registry on July 9, 2006.

Q: What is Michelle R Demenkow, PA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since July 09, 2006

14201 W SUNRISE BLVD STE 208, SUNRISE, FL 33323(954) 851-9690(954) 366-5056 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2020, Apr 16, 2020, Jun 20, 2018 (3 updates tracked since 2018).

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About Michelle R Demenkow, Pa NPPES

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

MICHELLE R DEMENKOW, PA (NPI 1962435271) is a healthcare organization registered as a psychiatric/mental health in Sunrise, Florida and active in the NPI registry since July 2006. The organization lists Michelle R Demenkow, Owner, as its authorized official.

NPPES Registry Identity

NPI1962435271

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMICHELLE R DEMENKOW, PA

Location Address14201 W SUNRISE BLVD STE 208Sunrise, FL 33323

Mailing Address14201 W Sunrise Blvd Ste 208Sunrise, FL 33323-3207 · (954) 851-9690

Phone(954) 851-9690

Fax(954) 366-5056

Organization SubpartNo

Authorized OfficialMichelle R DemenkowOwner · (954) 856-8703

Enumeration DateJuly 9, 2006

Last NPPES UpdateMay 20, 20203 updates tracked since enumeration

NPPES CertifiedMay 20, 2020

✔ NPI 1962435271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · ARNP9211884

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY6763 (FL)

14201 W SUNRISE BLVD STE 208, Sunrise, FL 33323

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle R Demenkow, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Michelle R Demenkow, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michelle Demenkow, PH.D.

Clinical Psychologist

NPI 1063606614

14201 W SUNRISE BLVD SUITE 208
Sunrise, FL 33323

(954) 851-9690

✔ PECOSSame address

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 Michelle R Demenkow, PA's NPI number?

The NPI number for Michelle R Demenkow, PA is 1962435271. It was assigned to this organization in the NPPES registry on July 9, 2006.

Where is Michelle R Demenkow, PA located?

Michelle R Demenkow, PA is located at 14201 W Sunrise Blvd Ste 208, Sunrise, FL 33323. The listed phone number is (954) 851-9690.

What is Michelle R Demenkow, PA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michelle R Demenkow, PA enrolled in Medicare?

Yes. Michelle R Demenkow, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michelle R Demenkow, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Michelle R Demenkow, PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Michelle R Demenkow, PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Michelle R Demenkow, PA 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 Michelle R Demenkow, PA was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.