Active NPI
Angela Nicole Demorotski, MSN, FNP-C
- Family Nurse Practitioner
- Valparaiso, IN
National Provider Identifier
1902436330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F10191071
- Practice address
- 2301 Nottingham Dr
Valparaiso, IN 46383-9182 - Phone
- (219) 730-3943
- NPI assigned
- Jan 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F10191071 | IN | Primary |
Addresses
Primary practice location
2301 Nottingham Dr
Valparaiso, IN 46383-9182
Mailing address
1040 Sierra Dr Ste 400
Greenwood, IN 46143-7241
Phone (317) 528-4800
Other practice location 1
3500 Franciscan Way Ste 400
Michigan City, IN 46360-0021
Phone (219) 214-4516
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ademorotski521598@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10191071 | IN | MD | Family Nurse Practitioner |
Interoperability endpoints
- ademorotski521598@direct.franciscanalliance.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615593600000",
"number": "1902436330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 SIERRA DR STE 400",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461437241",
"telephone_number": "317-528-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 NOTTINGHAM DR",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463839182",
"telephone_number": "219-730-3943"
}
],
"practiceLocations": [
{
"address_1": "3500 Franciscan Way Ste 400",
"address_purpose": "LOCATION",
"city": "Michigan City",
"state": "IN",
"postal_code": "463600021",
"country_code": "US",
"telephone_number": "219-214-4516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMOROTSKI",
"first_name": "ANGELA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "MSN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-24",
"last_updated": "2021-03-13",
"certification_date": "2021-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "F10191071",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ademorotski521598@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3500 Franciscan Way Ste 400",
"city": "Michigan City",
"state": "IN",
"country_code": "US",
"postal_code": "463600021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.