Individual provider Active NPI

Nikki Kay Cherryholmes, APRN

  • Primary Care Nurse Practitioner
  • Hays, KS
National Provider Identifier
1336711613
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5380363012 Issued in KS
Practice address
1303 Main St
Hays, KS 67601-3622
Phone
(785) 498-8877
Fax
(785) 612-0003
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5380363012 KS Primary

Addresses

Primary practice location

1303 Main St
Hays, KS 67601-3622

Mailing address

1303 Main St
Hays, KS 67601-3622
Phone (785) 498-8877

Other names 1

  • Nikki Kay Delzeit Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5380363012KSMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1336711613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 MAIN ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676013622",
            "telephone_number": "785-498-8877",
            "fax_number": "785-612-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MAIN ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676013622",
            "telephone_number": "785-498-8877",
            "fax_number": "785-612-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRYHOLMES",
        "first_name": "NIKKI",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KS",
            "license": "5380363012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "DELZEIT",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.