Individual provider Active NPI

Kevin Demello, APRN

  • Nurse Practitioner
  • Punta Gorda, FL
National Provider Identifier
1427567411
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN02217 Issued in RI
Practice address
514 E Grace St
Punta Gorda, FL 33950-6121
Phone
(999) 999-9999
NPI assigned
Sep 22, 2017
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN02217 RI Primary
Nurse Practitioner 363L00000X APRN9406634 FL

Addresses

Primary practice location

514 E Grace St
Punta Gorda, FL 33950-6121

Mailing address

514 E Grace St
Punta Gorda, FL 33950-6121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20180105000466 FL Practitioner - Nurse Practitioner 4587923115 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athena Medical Group Nurse Practitioner CurrentSince Oct 13, 2025 Accepting new patients
C&S Anesthesia LLC CurrentSince Oct 1, 2022 Accepting new patients
Mana Health Partners PA CurrentSince Aug 13, 2024 Accepting new patients

Locations

16515 S 40th St
Ste 143
Phoenix, AZ 85048
Phone (602) 615-0876

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

741 S Beneva Rd
Sarasota, FL 34232
Phone (941) 957-0301

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (813) 575-1161

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

2870 Post Rd
Warwick, RI 02886
Phone (401) 298-8869

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1427567411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 E GRACE ST",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339506121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 E GRACE ST",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339506121",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMELLO",
        "first_name": "KEVIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-22",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN02217",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9406634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.