DEINMA IBULUBO RN, FNP-BC
NPI 1013261866
Nurse Practitioner - Family in Bronx, NY

Active since November 01, 2012PECOS EnrolledAccepts Medicare Assignment
71.17/100
CMS Quality Rating
2054 TILLOTSON AVE, BRONX, NY 10475(718) 671-2100 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2022, Sep 12, 2019, Oct 24, 2018 and 1 more (4 updates tracked since 2018).

About Deinma Ibulubo Rn, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEINMA IBULUBO RN, FNP-BC (NPI 1013261866) is an individual family provider in Bronx, New York, licensed in New York (363715) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with Penn State Health Hampden Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013261866
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEINMA IBULUBOCredential: RN, FNP-BC
Location Address2054 TILLOTSON AVEBronx, NY 10475-1560
Mailing Address1276 Fulton Ave Rm 219Bronx, NY 10456-3402 · (718) 992-7669
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 1, 2012
Last NPPES UpdateOctober 11, 20224 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
NPI 1013261866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 363715
Also ListedRegistered NurseTaxonomy 163W00000X · License 647036 (NY)
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP023507 (PA)
2054 TILLOTSON AVE, Bronx, NY 10475

Secondary Practice Locations 2

Location 11650 Grand ConcourseBronx, NY 10457-7606 · Phone (718) 992-7669
Location 2503 N 21st StCamp Hill, PA 17011-2204 · Phone (717) 972-4448 · Fax (717) 972-7366

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Deinma Ibulubo Rn, Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527308014
PECOS Enrollment IDI20220407000093
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
68 services65 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Penn State Health Hampden Medical Center

Acute Care Hospitals · Enola, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390336
Location2200 Good Hope RoadEnola, PA 17025 · Cumberland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10475 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.05
Promoting Interoperability99
Improvement Activities40
Cost58.7

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Registered Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Licensed Practical Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Licensed Practical Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Registered Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Registered Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Registered Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Licensed Practical Nurse
2054 TILLOTSON AVE
BRONX, NY 10475

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deinma Ibulubo's NPI number?

The NPI number for Deinma Ibulubo is 1013261866. It was assigned to this individual provider in the NPPES registry on November 1, 2012.

Where is Deinma Ibulubo located?

Deinma Ibulubo practices at 2054 Tillotson Ave, Bronx, NY 10475. The listed phone number is (718) 671-2100.

What is Deinma Ibulubo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Deinma Ibulubo enrolled in Medicare?

Yes. Deinma Ibulubo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Deinma Ibulubo affiliated with any hospitals?

According to CMS data, Deinma Ibulubo is affiliated with Penn State Health Hampden Medical Center.

When was this NPI record last updated?

The NPPES record for Deinma Ibulubo was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.