Active NPI
Kevin Demello, APRN
- Nurse Practitioner
- Punta Gorda, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN02217
- Practice address
- 514 E Grace St
Punta Gorda, FL 33950-6121 - Phone
- (999) 999-9999
- NPI assigned
- Sep 22, 2017
- Last updated
- Apr 23, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athena Medical Group | Nurse Practitioner | Current | Accepting new patients |
| C&S Anesthesia LLC | Current | Accepting new patients | |
| Mana Health Partners PA | Current | 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.
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1437925047
-
- Anesthesiology Physician
- Franklin, MA
- NPI 1396241519
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.