Individual provider Active NPI

Jennifer Anne Demko, BSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1851157051
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11034199 Issued in FL
Practice address
2272 Timberlake Cir
Vero Beach, FL 32966-4904
Phone
(801) 699-9130
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN9499173 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11034199 FL Primary

Addresses

Primary practice location

2272 Timberlake Cir
Vero Beach, FL 32966-4904

Mailing address

2272 Timberlake Cir
Vero Beach, FL 32966-4904
Phone (801) 699-9130

Other names 1

  • Jennifer Anne Demko-Clifford Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240912004598 FL Practitioner - Nurse Practitioner 4486194768 Reassigns benefits to 1 organization
I20251122001760 NC Practitioner - Nurse Practitioner 4486194768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MD Psychiatry and Emotional HealthGroup PAC ID 6608296744, 15 clinicians

Practice addresses (Care Compare)

530 New Waverly PL
Suite 314
Cary, NC 27518-7414
Phone (919) 854-0021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN9499173FLMDPsychiatric/Mental Health Registered Nurse
11034199FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Jul 24, 2024 Accepting new patients
MD Psychiatry and Emotional Health CurrentSince Oct 1, 2025 Accepting new patients
Freedom Psychiatry Services PLLC PastSince Sep 17, 2024 Accepting new patients

Locations

1702 Club Dr
Vero Beach, FL 32963
Phone (772) 222-5001

1700 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 341-6010

530 New Waverly Pl
Ste 314
Cary, NC 27518
Phone (919) 642-4802

6104 Fayetteville Rd
Durham, NC 27713
Phone (919) 423-0824

6104 Fayetteville Rd
Ste 101
Durham, NC 27713
Phone (919) 908-6444

7540 Ramble Way
Ste 109
Raleigh, NC 27616
Phone (919) 320-7283

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1851157051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2272 TIMBERLAKE CIR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329664904",
            "telephone_number": "801-699-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 TIMBERLAKE CIR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329664904",
            "telephone_number": "801-699-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMKO",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN9499173",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11034199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DEMKO-CLIFFORD",
            "middle_name": "ANNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.