Individual provider Active NPI

Dulce Novakovic, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1396214375
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11014835 Issued in FL
Practice address
8680 W Cheyenne Ave
Las Vegas, NV 89129-7458
Phone
(702) 797-2353
NPI assigned
Nov 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 815959 NV
Nurse Practitioner 363L00000X APRN11014835 FL Primary

Addresses

Primary practice location

8680 W Cheyenne Ave
Las Vegas, NV 89129-7458

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 954-7678

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dulce.novakovic@direct.moffitt.org

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
I20190325001122 NV Practitioner - Nurse Practitioner 3678813987 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11014835FLMDNurse Practitioner
815959NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group II Rhodes P C CurrentSince Aug 5, 2020 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Aug 5, 2020 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Aug 5, 2020 Accepting new patients
Family Home Hospice, Inc. CurrentSince Mar 1, 2021 Accepting new patients

Locations

8655 S Eastern Ave
Las Vegas, NV 89123
Phone (702) 468-8662

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

653 N Town Center Dr
Ste 402
Las Vegas, NV 89144
Phone (702) 243-7200

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

8680 W Cheyenne Ave
Las Vegas, NV 89129
Phone (702) 750-3425

Organizations & group practices 4

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": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1396214375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-954-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297458",
            "telephone_number": "702-797-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAKOVIC",
        "first_name": "DULCE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "815959",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11014835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dulce.novakovic@direct.moffitt.org",
            "affiliation": "N",
            "address_1": "12902 Usf Magnolia Dr",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336129416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.