Amy J Demonbreun, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11004440 Issued in FL

Practice address

897 E Venice Ave Ste a
Venice, FL 34285-7061

Phone

(941) 486-1404

Fax

(941) 486-4146

NPI assigned

Oct 7, 2019

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 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Dermatology, LLCGroup PAC ID 6002031531, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bauer@premierdermdocs.emadirect.md

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.

• Premier Dermatology, LLC

  • Dermatology Physician
  • Sarasota, FL
  • NPI 1700202298
  Medicare reassignment Care Compare group
• Lee R Lumpkin III MD PA

  • Specialist
  • Venice, FL
  • NPI 1619162773
  NPD

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1548801954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 E VENICE AVE STE A",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857061",
            "telephone_number": "941-486-1404",
            "fax_number": "941-486-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 E VENICE AVE STE A",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857061",
            "telephone_number": "941-486-1404",
            "fax_number": "941-486-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMONBREUN",
        "first_name": "AMY",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11004440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Della Forma Surgical LLC
• Demasi Digestive Health PA
• Clement Demasi, M.D.
• Ronald W Demasi, M.D.
• Paula G Demauro, LCSW
• Angela Marie Dempster Greene, OT/L
• David Kevin Denholm, MD
• Tamara L. Densmore, M.D.
• Dental Implants Today, LLC
• Dermatology Institute of Southwest Florida Inc

• Nurse Practitioner in Venice, FL
• Providers in Venice, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.