Gabriella Jane Demchenko

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.034874 Issued in IL

Practice address

56 W Dundee Rd
Buffalo Grove, IL 60089-3758

Phone

(224) 601-5001

Fax

(224) 333-7063

NPI assigned

Mar 3, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitality Forever Healthcare P.CGroup PAC ID 6608009253, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vitality Forever Healthcare P.C

  • Family Nurse Practitioner
  • Buffalo Grove, IL
  • NPI 1396162392
  Medicare reassignment Care Compare group NPD
• Vitality Urgent Care Services

  • Urgent Care Clinic/Center
  • Buffalo Grove, IL
  • NPI 1053166769
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1114872397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 CHAUCER WAY",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891109",
            "telephone_number": "224-383-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893758",
            "telephone_number": "224-601-5001",
            "fax_number": "224-333-7063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 S Rand Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Zurich",
            "state": "IL",
            "postal_code": "600472359",
            "country_code": "US",
            "telephone_number": "847-350-1291",
            "fax_number": "224-333-7063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "813 Chaucer Way",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600891109",
            "country_code": "US",
            "telephone_number": "224-383-5740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMCHENKO",
        "first_name": "GABRIELLA",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.034874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly B Del Bene, DPT
• Ivelisse Del Valle
• Papa Win Delacruz, M.D.
• Sue Deluca, LCSW
• Molly Cathryn Delzer, PA-C
• Dental Health Professionals of Illinois, P.C.
• Stephen Denton, PT
• Emalee Depa
• Derick Dermatology, PLLC
• Sandra Derks, LCPC

• Family Nurse Practitioner in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.