PHILIP D DIBERT NP
NPI 1609436864
Nurse Practitioner - Family in Elkhart, IN
About Philip D Dibert Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILIP D DIBERT NP (NPI 1609436864) is an individual family provider in Elkhart, Indiana, licensed in Indiana (71009192A) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and maintains a secondary practice location in Mishawaka.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Philip D Dibert Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Philip Dibert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elkhart, IN 46514
- Reassigned Medicare billing, Indiana enrollment
- 734 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Elkhart General Hospital
Acute Care Hospitals · Elkhart, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46514 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELKHART, IN 46514
ELKHART, IN 46514
ELKHART, IN 46514
ELKHART, IN 46514
ELKHART, IN 46514
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 Philip Dibert's NPI number?
The NPI number for Philip Dibert is 1609436864. It was assigned to this individual provider in the NPPES registry on June 19, 2019.
Where is Philip Dibert located?
Philip Dibert practices at 500 Arcade Ave Ste 210, Elkhart, IN 46514. The listed phone number is (574) 389-5656.
What is Philip Dibert's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Philip Dibert enrolled in Medicare?
Yes. Philip Dibert 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.
Which organization bills Medicare for Philip Dibert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Dibert reassigns Medicare benefits to Beacon Medical Group, Inc. (Elkhart, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Dibert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philip Dibert accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Philip Dibert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Philip Dibert affiliated with any hospitals?
According to CMS data, Philip Dibert is affiliated with Elkhart General Hospital.
When was this NPI record last updated?
The NPPES record for Philip Dibert was last updated on January 23, 2023. 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.
# Philip D Dibert, NP · NPI 1609436864
Family physician in Elkhart, Indiana. Individual provider, active in the CMS NPPES registry since June 19, 2019.
## Identity
- **NPI:** 1609436864 (Entity type: Individual)
- **Enumerated:** June 19, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71009192A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 ARCADE AVE STE 210, Elkhart, IN 46514-2485
- **Phone:** (574) 389-5656 · **Fax:** (574) 523-7891
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Beacon Medical Group, Inc. (NPI 1528362647, Elkhart, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 23, 2023
- **Other identifiers:** Medicaid 300029230 (IN); Other 236040355 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1609436864) · Data from the CMS NPPES public registry.