Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients156
Services billed 318 a service is one billed item, such as a visit, a test or a procedure
Average patient age79

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Beacon Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 574 clinicians in the practice; 12 are shown here.

Other providers in Elkhart