Phillip Divon
NPI 1154280931ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Yeadon, PA
Nurse Practitioner, Psych/Mental Health with Nj Pacs 2 PA and 1 other group, practicing in Yeadon, Pennsylvania. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1154280931 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 19, 2026 |
| Last updated in NPPES | Jan 19, 2026 |
| Certified by provider | Jan 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | SP034951 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (PA) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Nj Pacs 2 PAEdison, NJ · 15 clinicians
- Inpatient Consultants of Pennsylvania PCMedia, PA · 12 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other psychiatric nurse practitioners in Yeadon
- 1922372531