Active NPI
Jaime Lee Delivuk, FNP-C
- Family Nurse Practitioner
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 879671
- Practice address
- 2350 Corporate Cir Ste 100
Henderson, NV 89074-7738 - Phone
- (702) 968-7210
- Fax
- (702) 735-7153
- NPI assigned
- Jun 30, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 879671 | NV | Primary |
Addresses
Primary practice location
2350 Corporate Cir Ste 100
Henderson, NV 89074-7738
Mailing address
6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043942741 | Medicaid | NV | |
| 879671 | Other | NV | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3131 La Canada St
Las Vegas, NV 89169-2578
Phone (702) 933-9400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 879671 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinehurst Medical Clinic, Inc. | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Current | Accepting new patients | |
| Firsthealth of the Carolinas, Inc. | Current | Accepting new patients | |
| Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| Firsthealth of the Carolinas, Inc. | Current | Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Past | Accepting new patients |
Locations
205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211
220 Page Rd
Pinehurst, NC 28374
Phone (910) 715-3500
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
2350 Corporate Cir
Ste 100
Henderson, NV 89074
Phone (702) 968-7210
6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
3131 La Canada St
Ste 140
Las Vegas, NV 89169
Phone (702) 933-9400
3131 La Canada St
Las Vegas, NV 89169
Phone (702) 636-6360
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
-
- Rural Health Clinic/Center
- Troy, NC
- NPI 1548276389
-
- Home Health Agency
- Las Vegas, NV
- NPI 1689882557
-
- Obesity Medicine (Preventive Medicine) Physician
- Pinehurst, NC
- NPI 1316626104
-
- Oncology Clinic/Center
- Pinehurst, NC
- NPI 1417010422
-
- Internal Medicine Physician
- Pinehurst, NC
- NPI 1255388369
-
- Ambulatory Surgical Clinic/Center
- Pinehurst, NC
- NPI 1356421853
-
- Clinical Medical Laboratory
- Southern Pines, NC
- NPI 1962509372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1043942741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 S BUFFALO DR FL 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891132133",
"telephone_number": "702-216-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 CORPORATE CIR STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747738",
"telephone_number": "702-968-7210",
"fax_number": "702-735-7153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELIVUK",
"first_name": "JAIME",
"middle_name": "LEE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-30",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "879671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043942741",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "879671",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.