Individual provider Active NPI

Flordelis Delacruz, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1962052316
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
815637 Issued in NV
Practice address
4170 S Decatur Blvd Ste C1
Las Vegas, NV 89103-5863
Phone
(619) 484-4039
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 815637 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 815637 NV Primary

Addresses

Primary practice location

4170 S Decatur Blvd Ste C1
Las Vegas, NV 89103-5863

Mailing address

4170 S Decatur Blvd Ste C1
Las Vegas, NV 89103-5863
Phone (702) 659-8827

Other practice location 1

515 28 3/4 Rd
Grand Junction, CO 81501-5016
Phone (970) 255-1266

Other practice location 2

3061 S Maryland Pkwy Ste 104
Las Vegas, NV 89109-6226
Phone (702) 438-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220314001914 CA Practitioner - Nurse Practitioner 9032441860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of AmericaGroup PAC ID 3476813460, 112 clinicians

Practice addresses (Care Compare)

5320 Hwy 49 N
Mariposa, CA 95338-9588
Phone (209) 966-2344

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of America CurrentSince Jan 1, 2022 Accepting new patients
Community Health Centers of America CurrentSince Jan 1, 2022 Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. PastSince May 9, 2021 Accepting new patients

Locations

554 5th St
Gustine, CA 95322
Phone (209) 391-8854

517 Main St
#A
Livingston, CA 95334
Phone (209) 445-2388

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

5320 State Highway 49 N
Mariposa, CA 95338
Phone (209) 383-5200

733 3rd St
Mc Farland, CA 93250
Phone (661) 792-3097

850 W Olive Ave
Merced, CA 95348
Phone (209) 437-9410

Organizations & group practices 3

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": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1962052316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 S DECATUR BLVD STE C1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891035863",
            "telephone_number": "702-659-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 S DECATUR BLVD STE C1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891035863",
            "telephone_number": "619-484-4039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 28 3/4 Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815015016",
            "country_code": "US",
            "telephone_number": "970-255-1266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3061 S Maryland Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891096226",
            "country_code": "US",
            "telephone_number": "702-438-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "FLORDELIS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "815637",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "815637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.