DR. JAMIE MICHELLE DEMAIO (M.D.) – General Practice Physician, NPI 1720047954

DR. JAMIE MICHELLE DEMAIO (M.D.) is a healthcare provider. based in Lakeland, Florida. specializing in General Practice Physician. They hold the professional credentials M.D.. They hold a License No. 10638 (PR). The NPI Number for DR. JAMIE MICHELLE DEMAIO (M.D.) is 1720047954

Main info

Female
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMIE MICHELLE DEMAIO (M.D.)
NPI
1720047954
Phone
(863) 688-5811
Address
1417 LAKELAND HILLS BLVD STE 204
Enumeration Date
17 March 2006
Last Update Date
10 April 2019

Doctor Profile

Medical School Name
UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Secondary Phone
8134155038
Graduation Year
1989 (37 years ago)
PAC ID
1557519303
Group Practice PAC ID
6901026616
Professional Enrollment ID
I20190819002195
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. JAMIE MICHELLE DEMAIO (M.D.)

  • 1417 LAKELAND HILLS BLVD STE 204

    LAKELAND, FL 338053208

    Phone: (863) 688-5811

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120919000713IGeneral PracticePRTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33805)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901026616View full group profile
NameSpecialtyState
-FL

Reviews

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Frequently asked questions

Is there an official ID for DR. JAMIE MICHELLE DEMAIO (M.D.) in U.S. healthcare records?
The official identifier for DR. JAMIE MICHELLE DEMAIO (M.D.) is NPI 1720047954.
Active or inactive — what applies to DR. JAMIE MICHELLE DEMAIO (M.D.)?
You should see DR. JAMIE MICHELLE DEMAIO (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe DR. JAMIE MICHELLE DEMAIO (M.D.)'s focus?
For DR. JAMIE MICHELLE DEMAIO (M.D.), the primary taxonomy reads as General Practice Physician. Clinical services aligned with this taxonomy classification.
Is DR. JAMIE MICHELLE DEMAIO (M.D.) located near Lakeland?
DR. JAMIE MICHELLE DEMAIO (M.D.) currently maps to Lakeland, Florida in this extract.
Can I trust this NPI listing for DR. JAMIE MICHELLE DEMAIO (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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