Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BEACON MEDICAL GROUP MICHIGAN INC
NPI 1063542165
Counselor in Portage, MI

Active since March 07, 2007
8001 ANGLING RD, PORTAGE, MI 49024(269) 321-7090 Get Directions Write a Review

NPPES record last updated: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 4, 2026, Dec 30, 2022, Dec 3, 2021 and 1 more (4 updates tracked since 2018).

About Beacon Medical Group Michigan Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACON MEDICAL GROUP MICHIGAN INC (NPI 1063542165) is a healthcare organization registered as a counselor in Portage, Michigan and active in the NPI registry since March 2007. The organization lists Jeffrey Costello, Cfo, as its authorized official.

NPPES Registry Identity

NPI1063542165
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameBEACON MEDICAL GROUP MICHIGAN INC
Location Address8001 ANGLING RDPortage, MI 49024-7422
Mailing Address1717 Shaffer St Ste 2Kalamazoo, MI 49048-1623 · (269) 552-2836
Organization SubpartNo
Authorized OfficialJeffrey CostelloCfo · (574) 647-3460
Enumeration DateMarch 7, 2007
Last NPPES UpdateNovember 4, 20264 updates tracked since enumeration
NPPES CertifiedNovember 4, 2026
✔ NPI 1063542165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
8001 ANGLING RD, Portage, MI 49024

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beacon Medical Group Michigan Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

460

Medicare enrollment records show 460 clinicians reassign Medicare billing to Beacon Medical Group Michigan Inc, which bills Medicare for the services they deliver. Of these, 214 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 44

Nurse Practitioner111
Family Practice43
Obstetrics/Gynecology42
Internal Medicine30
General Surgery24
Cardiovascular Disease (Cardiology)18
Gastroenterology17
Interventional Cardiology14
36 other specialties161

Nearest to this location (20)

See all 460
Pediatric Medicine
NPI 1891081972
8001 ANGLING RD
Portage, MI 49024
(269) 329-0944
✔ PECOS0.1 mi
Family Practice
NPI 1750497335
7901 ANGLING RD STE B-201
Portage, MI 49024
(269) 324-8600
✔ PECOS0.1 mi
Family Practice
NPI 1477081685
7901 ANGLING RD
Portage, MI 49024
(269) 324-8600
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1174618052
7901 ANGLING RD SUITE B-201
Portage, MI 49024
(269) 324-8600
✔ PECOS0.1 mi
Family Practice
NPI 1023114477
7901 ANGLING ROAD SUITE B-201
Portage, MI 49024
(269) 324-8600
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1043243959
7901 ANGLING RD
Portage, MI 49024
(269) 324-8600
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1437048857
7901 ANGLING RD
Portage, MI 49024
(269) 324-8600
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1538463393
7901 ANGLING RD
Portage, MI 49024
(269) 324-8600
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1801626627
7901 ANGLING RD
Portage, MI 49024
(269) 324-8600
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1437474152
7901 ANGLING RD
Portage, MI 49024
(269) 324-8600
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1386521623
7901 ANGLING RD
Portage, MI 49024
(269) 324-8405
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1700321841
7901 ANGLING RD
Portage, MI 49024
(269) 324-8405
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1144880881
7775 ANGLING RD
Portage, MI 49024
(269) 324-8670
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1831334762
3770 GLENKERRY CT
Portage, MI 49024
(269) 329-2887
✔ PECOS✔ Accepts Medicare0.5 mi
Psychiatry
NPI 1154718237
7950 MOORSBRIDGE RD STE 304
Portage, MI 49024
(269) 222-2109
✔ PECOS0.5 mi
Geriatric Medicine
NPI 1912005596
7840 SHEPHERDS GLEN CT
Kalamazoo, MI 49009
(269) 375-1222
✔ PECOS0.5 mi
Nurse Practitioner
NPI 1972996122
7661 THRASHER LN
Kalamazoo, MI 49009
(269) 569-4551
✔ PECOS0.5 mi
Family Practice
NPI 1134199698
3300 W CENTRE AVE
Portage, MI 49024
(269) 324-8950
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1548464035
6505 CONSTITUTION BLVD STE C
Portage, MI 49024
(269) 762-4120
✔ PECOS2.7 mi
Pulmonary Disease
NPI 1720346620
3786 FLEETWOOD DR
Portage, MI 49024
(248) 765-9369
✔ PECOS✔ Accepts Medicare2.9 mi
See all 460 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beacon Medical Group Michigan Inc's NPI number?

The NPI number for Beacon Medical Group Michigan Inc is 1063542165. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Beacon Medical Group Michigan Inc located?

Beacon Medical Group Michigan Inc is located at 8001 Angling Rd, Portage, MI 49024. The listed phone number is (269) 321-7090.

What is Beacon Medical Group Michigan Inc's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Beacon Medical Group Michigan Inc enrolled in Medicare?

Yes. Beacon Medical Group Michigan Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beacon Medical Group Michigan Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 460 clinicians in 44 Medicare specialties reassign their Medicare billing to Beacon Medical Group Michigan Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (111), Family Practice (43) and Obstetrics/Gynecology (42). Of these, 214 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beacon Medical Group Michigan Inc was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.