Beacon Medical Group, Inc.
NPI 1578862181ActiveOrganization· Advanced Practice Midwife· South Bend, IN
Advanced Practice Midwife in South Bend, Indiana, registered in NPPES in March 2011, part of Beacon Health System, Inc. The authorized official on file is Jeffrey P. Costello, Vp/Cfo.
Overview
| NPI | 1578862181 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Beacon Health System, Inc. |
| NPI issued | Mar 22, 2011 |
| Last updated in NPPES | Jan 30, 2025 |
| Certified by provider | Jan 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Advanced Practice Midwife Primary | 367A00000X | — | — |
| Obstetrics & Gynecology | 207V00000X | — | — |
| Nurse Practitioner, Women's Health | 363LW0102X | — | — |
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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