Active NPI
Flordelis Delacruz, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 815637
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of America | Current | Accepting new patients | |
| Community Health Centers of America | Current | Accepting new patients | |
| Healthcare Partners Medical Group (Coats) LTD. | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- Mariposa, CA
- NPI 1891207684
-
- Federally Qualified Health Center (FQHC)
- Gustine, CA
- NPI 1245105733
-
- Pediatrics Physician
- Las Vegas, NV
- NPI 1902883341
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.