BEACON MEDICAL GROUP WANEE
NPI 1457378069
Family Medicine in Nappanee, IN

Q: What is Beacon Medical Group, Inc.'s NPI number?

The NPI number for Beacon Medical Group, Inc. is 1457378069. It was assigned to this organization in the NPPES registry on July 17, 2006. The provider is doing business as Beacon Medical Group Wanee.

Q: What is Beacon Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 17, 2006

2102 N MAIN ST, NAPPANEE, IN 46550(574) 862-2165(574) 862-4112 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2021, Sep 15, 2021, Oct 27, 2016 and 1 more (4 updates tracked since 2016).

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About Beacon Medical Group Wanee NPPES

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

BEACON MEDICAL GROUP WANEE (NPI 1457378069) is a healthcare organization registered as a family medicine in Nappanee, Indiana and active in the NPI registry since July 2006. The organization lists Jeffrey P Costello, Cfo, as its authorized official.

NPPES Registry Identity

NPI1457378069

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBEACON MEDICAL GROUP, INC.

Location Address2102 N MAIN STNappanee, IN 46550-9310

Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610 · Fax (574) 237-6069

Phone(574) 862-2165

Fax(574) 862-4112

Organization SubpartNo

Authorized OfficialJeffrey P CostelloCfo · (574) 647-3549

Enumeration DateJuly 17, 2006

Last NPPES UpdateApril 26, 20234 updates tracked since enumeration

NPPES CertifiedApril 26, 2023

✔ NPI 1457378069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2102 N MAIN ST, Nappanee, IN 46550

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Other Names 1

Doing Business AsBeacon Medical Group Wanee

Other Identifiers 1

Medicaid300054202IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 ›

Other Providers at the Same Location NPPES 8

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

REBECCA CRIMMINS

Nurse Practitioner (Family)