MRS. ELIZABETH DIANE SCHALLIOL N.P.
NPI 1104973536
Nurse Practitioner - Women's Health in South Bend, IN

Q: What is Elizabeth Schalliol's NPI number?

The NPI number for Elizabeth Schalliol is 1104973536. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Q: What is Elizabeth Schalliol's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment

100 NAVARRE PL STE 4470, SOUTH BEND, IN 46601(574) 647-1405(574) 647-3970 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2025, Jun 25, 2024, Apr 5, 2021 and 2 more (5 updates tracked since 2017).

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About Mrs. Elizabeth Diane Schalliol N.p. NPPES

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

MRS. ELIZABETH DIANE SCHALLIOL N.P. (NPI 1104973536) is an individual women's health provider in South Bend, Indiana, licensed in Indiana (71002043A) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and maintains a secondary practice location in Mishawaka.

NPPES Registry Identity

NPI1104973536

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameMRS. ELIZABETH DIANE SCHALLIOLCredential: N.P.

Location Address100 NAVARRE PL STE 4470South Bend, IN 46601-1168

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-3725

Phone(574) 647-1405

Fax(574) 647-3970

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJanuary 5, 2007

Last NPPES UpdateFebruary 20, 20265 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2026

✔ NPI 1104973536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in IN · 71002043A

100 NAVARRE PL STE 4470, South Bend, IN 46601

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Secondary Practice Location 1

Location 1202 Lincolnway E Ste 201Mishawaka, IN 46544-2079 · Phone (574) 584-2812 · Fax (574) 584-2813

Other Identifiers 1

Medicaid200866450IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Elizabeth Diane Schalliol N.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830280080

PECOS Enrollment IDI20070802000403

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

197 services103 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

51 services46 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

28 services28 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

25 services21 patients

Fitting and insertion of vaginal support device 57160

A vaginal support device is a medical tool used to provide support to pelvic organs. During the procedure, a healthcare professional will gently place the device into the appropriate area. This is typically done in a clinical setting and can help with various health conditions.

23 services23 patients

Pessary, reusable, non rubber, any type A4562

A pessary is a device placed in the body to support areas that have dropped due to age or childbirth. It's made of non-rubber material. It's inserted and removed by a healthcare professional. Regular check-ups are needed to ensure comfort and proper function.

17 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150058

Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON KATE MOLENCUPP CNM

Advanced Practice Midwife