Beacon Medical Group, Inc.

ActiveOrganizationNurse Practitioner
NPI issued: March 1, 2011

Quick Facts

NPI Number
1629376645
TypeOrganization
StatusActive
SpecialtyNurse Practitioner
Taxonomy363LP0808X — Nurse Practitioner
Phone
(574) 647-8470
StateIN

NPI Validation Status: Verified

Valid 10-digit NPI number (1629376645)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (March 1, 2011)
Data source: CMS NPPES

Provider Overview

BEACON MEDICAL GROUP, INC. is a Nurse Practitioner provider based in South Bend, IN who has been registered with CMS since 2011. They are affiliated with Beacon Medical Group Behavioral Health South Bend and Beacon Medical Group Behavioral Health South Bend. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1629376645
Provider TypeOrganization
StatusActive
Enumeration DateMarch 1, 2011

Practice Location

CitySouth Bend
StateIN
ZIP Code46601-1071
Phone(574) 647-8470

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LP0808X
License StateIN

Mailing Address

CitySouth Bend
StateIN
ZIP Code46601-1071
Phone(574) 647-8470
Same as practice location

Hospital & Organization Affiliations

🏢

Beacon Medical Group Behavioral Health South Bend

📍 ,

🏢

Beacon Medical Group Behavioral Health South Bend

📍 ,

How to Use This NPI

📋

For Insurance Billing

Use NPI 1629376645 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1629376645for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1629376645 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

📊
53,937
Nurse Practitioner Providers in the US

Similar Providers in South Bend

Billie Federspiel, NP

📍 South Bend, IN 46617-2322

Gertrude Mumba-kaunda

📍 South Bend, IN 46619-3569

Michael Workman, MSN, PMHNP

📍 South Bend, IN 46601-1071

Azubike Nwokedi, NP

📍 South Bend, IN 46601-1923

Sheryl Vinci, APRN

📍 South Bend, IN 46601-1071

Jennifer Loop-miller, PMHNP

📍 South Bend, IN 46601-1071

Other Healthcare Providers in South Bend

John Mathis, M.D

Gastroenterology

Thomas Akre, DO

Orthopedic Surgery

Lori Checkley, M.D

Family Medicine

Robert Lee, M.D

Family Medicine

South Bend In Endoscopy Asc Llc

Specialty not listed

John Jenkins, M.D

Specialty not listed

People Also Ask

What is Beacon Medical Group, Inc.'s NPI number?
Beacon Medical Group, Inc.'s NPI number is 1629376645, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Beacon Medical Group, Inc.'s NPI currently active?
Yes, Beacon Medical Group, Inc.'s NPI status is Active as of the latest CMS NPPES database updates.
What does Beacon Medical Group, Inc. specialize in?
Beacon Medical Group, Inc. specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LP0808X.
Where does Beacon Medical Group, Inc. practice?
Beacon Medical Group, Inc. practices in South Bend, IN 46601-1071.
When was Beacon Medical Group, Inc.'s NPI issued?
Beacon Medical Group, Inc.'s NPI was issued on March 1, 2011.
What is Beacon Medical Group, Inc.'s provider type?
Beacon Medical Group, Inc. is registered as an Organization under CMS NPI Type 2.