Individual provider Active NPI

Jaime Lee Delivuk, FNP-C

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1043942741
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
879671 Issued in NV
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

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1043942741MedicaidNV
879671OtherNVLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NV2 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
I20220825003056 NC Practitioner - Nurse Practitioner 1153705033 Reassigns benefits to 1 organization
I20241011003959 NV Practitioner - Nurse Practitioner 1153705033 Reassigns benefits to 1 organization

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
Intermountain Medical Holdings Nevada IncGroup PAC ID 7416054622, 311 clinicians

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

LicenseStateTypeSpecialty
879671NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Medical Clinic, Inc. CurrentSince Sep 2, 2022 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Nov 11, 2024 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Sep 2, 2022 Accepting new patients
Firsthealth of the Carolinas, Inc. CurrentSince Aug 8, 2022 Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Aug 8, 2022 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Nov 11, 2024 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.

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

Verify at the official NPI Registry.