Individual provider Active NPI

Deborah L. Pribulick, NP

  • Nurse Practitioner
  • Millsboro, DE
National Provider Identifier
1639248768
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG0011474 Issued in DE
Practice address
28538 Dupont Blvd
Millsboro, DE 19966-4791
Phone
(302) 934-0944
Fax
(302) 934-0920
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F320061 NY
Nurse Practitioner 363L00000X LG0011474 DE Primary

Addresses

Primary practice location

28538 Dupont Blvd
Millsboro, DE 19966-4791

Mailing address

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

Other practice location 1

31 Arnot Rd
Horseheads, NY 14845-8533
Phone (607) 739-3874

Other identifiers 4

IdentifierTypeStateIssuer
CC9269OtherPARR MEDICARE GROUP
GU039823OtherPWPA MEDICARE GROUP
02838640MedicaidNY
P00379060OtherPARR MEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070605000420 NY Practitioner - Nurse Practitioner 7810997236 Reassigns benefits to 1 organization
I20210324000864 DE Practitioner - Nurse Practitioner 7810997236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

28538 Dupont Blvd
Millsboro, DE 19966-4791
Phone (302) 934-0944

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80 of 100Reported as group
Quality
62.88
Promoting interoperability
94
Improvement activities
40
Cost
75.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG0011474DEMDNurse Practitioner
F320061NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Delaware-Stockley CurrentSince Mar 15, 2021 Accepting new patients
Beebe Physician Network Inc. CurrentSince Mar 15, 2021 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jan 31, 2006 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jan 31, 2006 Accepting new patients

Locations

21635 Biden Ave
Unit 101
Georgetown, DE 19947
Phone (302) 856-9596

1515 Savannah Rd
Lewes, DE 19958

1305 Savannah Rd
Ste 1
Lewes, DE 19958
Phone (302) 645-2281

12100 Black Swan Dr
Ste 104
Lewes, DE 19958
Phone (302) 645-1315

34445 King Street Row
Lewes, DE 19958
Phone (302) 645-2833

100 Silicato Pkwy
Ste 200
Milford, DE 19963
Phone (302) 393-2056

28538 DuPont Blvd
Unit 1
Millsboro, DE 19966
Phone (302) 829-3294

232 Mitchell St
Ste 3
Millsboro, DE 19966

32050 Long Neck Rd
Millsboro, DE 19966
Phone (302) 645-3150

28538 DuPont Blvd
Millsboro, DE 19966
Phone (302) 934-5052

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

23900 Milton Ellendale Hwy
Ste 101
Milton, DE 19968
Phone (302) 684-2033

18947 John J Williams Hwy
Unit 303
Rehoboth Beach, DE 19971
Phone (302) 644-0690

36450 Tidal Rd
Unit 2
Selbyville, DE 19975
Phone (302) 291-6045

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: dpribulick22425@beebehealth.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1639248768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-888-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28538 DUPONT BLVD",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199664791",
            "telephone_number": "302-934-0944",
            "fax_number": "302-934-0920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Arnot Rd",
            "address_purpose": "LOCATION",
            "city": "Horseheads",
            "state": "NY",
            "postal_code": "148458533",
            "country_code": "US",
            "telephone_number": "607-739-3874",
            "fax_number": "607-739-3632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIBULICK",
        "first_name": "DEBORAH",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F320061",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG0011474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CC9269",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA MEDICARE GROUP",
            "identifier": "GU039823",
            "state": "PW"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02838640",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "P00379060",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

Verify at the official NPI Registry.