Beacon Medical Group, Inc.
NPI 1518302264ActiveOrganization· Nurse Practitioner, Adult Health· South Bend, IN
Nurse Practitioner, Adult Health in South Bend, Indiana, registered in NPPES in May 2013. The authorized official on file is Jeffrey P. Costello, Cfo.
Overview
| NPI | 1518302264 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 8, 2013 |
| Last updated in NPPES | Aug 30, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 71001587A | IN |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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