Individual provider Active NPI

Rae Marie Delaney, NP

  • Family Nurse Practitioner
  • Mesquite, NV
National Provider Identifier
1053769133
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
861266 Issued in NV
Practice address
1301 Bertha Howe Ave Ste 1
Mesquite, NV 89027-7503
Phone
(702) 346-4302
Fax
(702) 346-0118
NPI assigned
May 30, 2016
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704269369 MI
Family Nurse Practitioner 363LF0000X 71006752A IN
Family Nurse Practitioner 363LF0000X 861266 NV Primary
Registered Nurse 163W00000X 28139816A IN
Registered Nurse 163W00000X 4704269369 MI
Family Medicine Physician 207Q00000X 861266 NV

Addresses

Primary practice location

1301 Bertha Howe Ave Ste 1
Mesquite, NV 89027-7503

Mailing address

1301 Bertha Howe Ave Ste 1
Mesquite, NV 89027-7503
Phone (702) 346-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231005000664 NV Practitioner - Nurse Practitioner 5193006732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1301 Bertha Howe Ave
Mesquite, NV 89027-7503

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28139816AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mesquite Clinic Management Company LLC CurrentSince Sep 21, 2023 Accepting new patients
Mesquite Clinic Management Company LLC CurrentSince Sep 21, 2023 Accepting new patients
MMC of Nevada LLC Past Accepting new patients
Alfaro LTD Past Accepting new patients
Aims-Med, LLC PastSince Sep 17, 2023 Accepting new patients

Locations

1301 Bertha Howe Ave
Ste 1
Mesquite, NV 89027
Phone (702) 346-0200

450 Hillside Dr
Ste 104
Mesquite, NV 89027
Phone (702) 345-2650

Interoperability endpoints

  • Direct secure messaging: rae.delaney.1@2184.direct.athenahealth.com
  • Direct secure messaging: rstull1145115@direct.trinity-health.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1053769133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE STE 1",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277503",
            "telephone_number": "702-346-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE STE 1",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277503",
            "telephone_number": "702-346-4302",
            "fax_number": "702-346-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANEY",
        "first_name": "RAE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-30",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704269369",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006752A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "861266",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28139816A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704269369",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "861266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

Verify at the official NPI Registry.