Individual provider Active NPI

Delphine Fombi-Ndifor, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bear, DE
National Provider Identifier
1720798432
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0010379 Issued in DE
Practice address
729 Ellen Dr
Bear, DE 19701-5801
Phone
(302) 981-2529
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010379 DE Primary

Addresses

Primary practice location

729 Ellen Dr
Bear, DE 19701-5801

Mailing address

11 Parkway Cir
New Castle, DE 19720-4077
Phone (302) 252-7076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230412001322 DE Practitioner - Nurse Practitioner 0244605871 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista Medical Services IncGroup PAC ID 5597743344, 31 clinicians

Practice addresses (Care Compare)

2006 Limestone Rd
Suite 4
Wilmington, DE 19808-5553
Phone (302) 276-9076

5651 Limestone Rd
Wilmington, DE 19808-1217
Phone (302) 239-8583

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8-0010379DEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Behavioral Delaware, LLC Psychiatric/Mental Health CurrentSince Jun 24, 2023 Accepting new patients
Vista Medical Services, Inc. CurrentSince May 1, 2023 Accepting new patients

Locations

21655 Biden Ave
Georgetown, DE 19947
Phone (302) 207-9176

231 S Washington St
Millsboro, DE 19966
Phone (302) 645-4664

5651 Limestone Rd
Wilmington, DE 19808
Phone (302) 239-8583

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1720798432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PARKWAY CIR",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197204077",
            "telephone_number": "302-252-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 ELLEN DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197015801",
            "telephone_number": "302-981-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOMBI-NDIFOR",
        "first_name": "DELPHINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

Verify at the official NPI Registry.