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IBRAHIM DIAKHATE CRNP
NPI 1679441604
Nurse Practitioner in Lancaster, PA

Active since October 29, 2025PECOS Enrolled
17 KENNEDY ST, LANCASTER, PA 17602(877) 564-3627 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ibrahim Diakhate Crnp NPPES

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

IBRAHIM DIAKHATE CRNP (NPI 1679441604) is an individual nurse practitioner in Lancaster, Pennsylvania, licensed in Pennsylvania (SP034381) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1679441604
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameIBRAHIM DIAKHATECredential: CRNP
Location Address17 KENNEDY STLancaster, PA 17602-4098
Mailing Address837 Hilton DrLancaster, PA 17603-5835 · (267) 928-5058
Phone(877) 564-3627
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 29, 2025
Last NPPES UpdateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
✔ NPI 1679441604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP034381
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
17 KENNEDY ST, Lancaster, PA 17602
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ibrahim Diakhate Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628564218
PECOS Enrollment IDI20260103510153
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 17602 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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 Ibrahim Diakhate's NPI number?

The NPI number for Ibrahim Diakhate is 1679441604. It was assigned to this individual provider in the NPPES registry on October 29, 2025.

Where is Ibrahim Diakhate located?

Ibrahim Diakhate practices at 17 Kennedy St, Lancaster, PA 17602. The listed phone number is (877) 564-3627.

What is Ibrahim Diakhate's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ibrahim Diakhate enrolled in Medicare?

Yes. Ibrahim Diakhate is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ibrahim Diakhate was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.