Individual provider Active NPI

Jason Beau Deluisa, ANP,CNP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1629200894
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
117659 Issued in AK
Practice address
1577 C St
Anchorage, AK 99501-5127
Phone
(941) 348-6927
Fax
(907) 865-2433
NPI assigned
Aug 20, 2009
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 117659 AK
Family Nurse Practitioner 363LF0000X CNP-01518 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 117659 AK Primary

Addresses

Primary practice location

1577 C St
Anchorage, AK 99501-5127

Mailing address

9040 Town Center Pkwy
Lakewood Ranch, FL 34202-4101
Phone (941) 348-6927

Other practice location 1

9040 Town Center Pkwy
Lakewood Ranch, FL 34202-4101
Phone (941) 348-6927

Other practice location 2

7901 4th St N
Saint Petersburg, FL 33702-4305
Phone (941) 348-6927

Other identifiers 1

IdentifierTypeStateIssuer
1666771MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CO, FL, AK4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20091021000615 NM Practitioner - Nurse Practitioner 4486791548 Reassigns benefits to 1 organization
I20211221000384 CO Practitioner - Nurse Practitioner 4486791548
I20211223000721 FL Practitioner - Nurse Practitioner 4486791548 Reassigns benefits to 1 organization
I20230712001972 AK Practitioner - Nurse Practitioner 4486791548 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jamhi Health and Wellness, IncGroup PAC ID 5799677480, 16 clinicians

Practice addresses (Care Compare)

3406 Glacier Hwy
Juneau, AK 99801-7251
Phone (907) 463-3303

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
117659AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Municipality of Skagway Family CurrentSince Mar 20, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 19, 2023 Accepting new patients
Presbyterian Medical Services CurrentSince Oct 7, 2019 Accepting new patients
Bernalillo Family Health Clinic, LLC Current Accepting new patients
Integrated Wellness and Recovery Family CurrentSince Dec 16, 2020 Accepting new patients
Presbyterian Medical Services CurrentSince Oct 7, 2019 Accepting new patients
Jamhi Health & Wellness, Inc CurrentSince Jul 1, 2023 Accepting new patients
Jamhi Health & Wellness, Inc CurrentSince Jul 1, 2023 Accepting new patients
Presbyterian Medical Services Current Accepting new patients

Locations

1577 C St
Ste 201
Anchorage, AK 99501
Phone (907) 222-2448

3406 Glacier Hwy
Ste A
Juneau, AK 99801
Phone (907) 463-3303

9040 Town Center Pkwy
Lakewood Ranch, FL 34202
Phone (941) 444-2019

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

914 N Canal St
Carlsbad, NM 88220
Phone (575) 885-4836

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Interoperability endpoints

  • Direct secure messaging: jasonnp@taospeds.opdirect.net

Organizations & group practices 9

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 1

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1629200894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 TOWN CENTER PKWY",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342024101",
            "telephone_number": "941-348-6927",
            "fax_number": "907-865-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 C ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995015127",
            "telephone_number": "941-348-6927",
            "fax_number": "907-865-2433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9040 Town Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342024101",
            "country_code": "US",
            "telephone_number": "941-348-6927",
            "fax_number": "907-865-2433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 4th St N",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337024305",
            "country_code": "US",
            "telephone_number": "941-348-6927",
            "fax_number": "907-865-2433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELUISA",
        "first_name": "JASON",
        "middle_name": "BEAU",
        "credential": "ANP,CNP, APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "117659",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-01518",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "117659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1666771",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.