Active NPI
Nicholas Demarco, PA-C
- Surgical Physician Assistant
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9109406
- Practice address
- 1050 SE Monterey Rd Ste 400
Stuart, FL 34994-4512 - Phone
- (772) 288-2400
- NPI assigned
- Mar 14, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9109406 | FL | Primary |
Addresses
Primary practice location
1050 SE Monterey Rd Ste 400
Stuart, FL 34994-4512
Mailing address
1050 SE Monterey Rd
Suite 400
Stuart, FL 34994-4512
Phone (772) 288-2400
Other practice location 1
9401 SW Discovery Way
Port St Lucie, FL 34987-2376
Phone (772) 288-2400
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 SE Monterey Rd
Stuart, FL 34994-4512
9955 SE Federal Hwy
Hobe Sound, FL 33455-4800
Phone (772) 288-2400
Hospital & facility affiliations
- Cleveland Clinic Martin North Hospital
- Palm Beach Gardens Medical Center
- Jupiter Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9109406 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Florida Orthopaedics & Sports Medicine, PA | Current | Accepting new patients | |
| South Florida Orthopaedics & Sports Medicine, PA | Current | Accepting new patients | |
| South Florida Orthopaedics & Sports Medicine,PA | Past | Accepting new patients |
Locations
9401 SW Discovery Way
Ste 201
Port St Lucie, FL 34987
9401 SW Discovery Way
Port St Lucie, FL 34987
1050 SE Monterey Rd
Ste 204
Stuart, FL 34994
Phone (772) 781-5960
1050 SE Monterey Rd
Ste 304
Stuart, FL 34994
1050 SE Monterey Rd
Ste 400
Stuart, FL 34994
Interoperability endpoints
- nicholas.demarcopac.p1@direct.southflaortho.nextgenshare.com
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.
-
- Orthopaedic Surgery Physician
- Stuart, FL
- NPI 1841253374
-
- Durable Medical Equipment & Medical Supplies
- Port St Lucie, FL
- NPI 1609763440
-
- Durable Medical Equipment & Medical Supplies
- Stuart, FL
- NPI 1639220700
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- General Acute Care Hospital
- Palm Beach Gardens, FL
- NPI 1144251216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542585600000",
"number": "1982065264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 SE MONTEREY RD",
"address_2": "SUITE 400",
"city": "STUART",
"state": "FL",
"postal_code": "349944512",
"telephone_number": "772-288-2400",
"fax_number": "772-419-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 SE MONTEREY RD STE 400",
"city": "STUART",
"state": "FL",
"postal_code": "349944512",
"telephone_number": "772-288-2400"
}
],
"practiceLocations": [
{
"address_1": "9401 SW Discovery Way",
"address_purpose": "LOCATION",
"city": "Port St Lucie",
"state": "FL",
"postal_code": "349872376",
"country_code": "US",
"telephone_number": "772-288-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMARCO",
"first_name": "NICHOLAS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-14",
"last_updated": "2018-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9109406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.