Beacon Medical Group, Inc.
NPI 1083665673ActiveOrganization· Nurse Practitioner· South Bend, IN
Nurse Practitioner in South Bend, Indiana, registered in NPPES in May 2006. The authorized official on file is Jeffrey P. Costello, Vp-Cfo.
Overview
| NPI | 1083665673 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 16, 2006 |
| Last updated in NPPES | Aug 29, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71000651A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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