MBWIDIFFU A DIBAL NP-C
NPI 1629473483
Nurse Practitioner - Family in Newark, DE

Active since October 22, 2014PECOS Enrolled
2600 GLASGOW AVE STE 104, NEWARK, DE 19702(302) 770-0030(302) 273-0031 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2026, Mar 4, 2020, Dec 3, 2015 (3 updates tracked since 2015).

About Mbwidiffu A Dibal Np-c NPPES

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

MBWIDIFFU A DIBAL NP-C (NPI 1629473483) is an individual family provider in Newark, Delaware, licensed in Delaware (LG-0000757) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1629473483
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMBWIDIFFU A DIBALCredential: NP-C
Location Address2600 GLASGOW AVE STE 104Newark, DE 19702-5703
Mailing Address2600 Glasgow Ave Ste 104Newark, DE 19702-5703 · (302) 770-0030 · Fax (302) 273-0031
Fax(302) 273-0031
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 22, 2014
Last NPPES UpdateMay 8, 20263 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
NPI 1629473483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in DE · LG-0000757
2600 GLASGOW AVE STE 104, Newark, DE 19702

Other Names 1

Former Name (1)Mbwidiffu Salmamza

Other Identifiers 1

Medicaid200141998DE

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mbwidiffu A Dibal Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002124005
PECOS Enrollment IDI20150924001142
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19702 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Other Providers at the Same Location NPPES 2

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

Family Medicine
2600 GLASGOW AVE STE 104
NEWARK, DE 19702
Family Medicine
2600 GLASGOW AVE STE 104
NEWARK, DE 19702

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 Mbwidiffu Dibal's NPI number?

The NPI number for Mbwidiffu Dibal is 1629473483. It was assigned to this individual provider in the NPPES registry on October 22, 2014. The provider is also known as Mbwidiffu Salmamza.

Where is Mbwidiffu Dibal located?

Mbwidiffu Dibal practices at 2600 Glasgow Ave Ste 104, Newark, DE 19702. The listed phone number is (302) 770-0030.

What is Mbwidiffu Dibal's specialty?

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

Is Mbwidiffu Dibal enrolled in Medicare?

Yes. Mbwidiffu Dibal is registered in the Medicare PECOS enrollment system.

What insurance does Mbwidiffu Dibal accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Mbwidiffu Dibal 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.

When was this NPI record last updated?

The NPPES record for Mbwidiffu Dibal was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.