Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Philip D Dibert, NP

Individual provider Family Nurse Practitioner · NPI 1609436864

Philip D Dibert, NP is a Nurse Practitioner in Elkhart, Indiana. Qualified in 2019, 7 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

500 Arcade Ave Ste 210
Elkhart, IN 46514-2485
Phone: (574) 389-5656
Fax: (574) 523-7891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5314 Lincolnway E, Mishawaka, IN 46544-4249 — (574) 256-9032

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71009192A (IN)

Record details

NPI number1609436864
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 19, 2019
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Elkhart