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

Phillip Divon

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1154280931

Phillip Divon is a Nurse Practitioner in Yeadon, Pennsylvania. Qualified in 2025, 1 year ago. Practices with Inpatient Consultants of Pennsylvania PC, a 13-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2026

Practice location Address checks out

939 Bell Ave
Yeadon, PA 19050-3704
Phone: (215) 681-7242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence SP034951 (PA)

Record details

NPI number1154280931
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 19, 2026
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address939 Bell Ave, Yeadon, PA 19050-3704

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Inpatient Consultants Of Pennsylvania Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Yeadon