MEMORIAL PAIN MANAGEMENT
NPI 1518302264
Nurse Practitioner - Adult Health in South Bend, IN
About Memorial Pain Management NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEMORIAL PAIN MANAGEMENT (NPI 1518302264) is a healthcare organization registered as an adult health in South Bend, Indiana and active in the NPI registry since May 2013. The organization lists Jeffrey P. Costello, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Memorial Pain Management is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
734Medicare enrollment records show 734 clinicians reassign Medicare billing to Memorial Pain Management, which bills Medicare for the services they deliver. Of these, 32 practice at this address and 365 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 45
Nearest to this location (20)
See all 734Source: 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, Inc.'s NPI number?
The NPI number for Beacon Medical Group, Inc. is 1518302264. It was assigned to this organization in the NPPES registry on May 8, 2013. The provider is doing business as Memorial Pain Management.
Where is Beacon Medical Group, Inc. located?
Beacon Medical Group, Inc. is located at 621 Memorial Dr Suite 602, South Bend, IN 46601. The listed phone number is (574) 647-7413.
What is Beacon Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Beacon Medical Group, Inc. enrolled in Medicare?
Yes. Beacon Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Beacon Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 734 clinicians in 45 Medicare specialties reassign their Medicare billing to Beacon Medical Group, 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 (188), Family Practice (113) and Certified Registered Nurse Anesthetist (CRNA) (49). Of these, 32 practice at this address and 365 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, Inc. was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.
# Memorial Pain Management · NPI 1518302264
Adult Health organization in South Bend, Indiana. Organization record, active in the CMS NPPES registry since May 8, 2013.
## Identity
- **NPI:** 1518302264 (Entity type: Organization)
- **Enumerated:** May 8, 2013
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **Legal business name:** Beacon Medical Group, Inc.
- **Organization subpart:** No
- **Authorized official:** Jeffrey Costello, CFO
## Practice location
- **Address:** 621 MEMORIAL DR, SUITE 602, South Bend, IN 46601-1063
- **Phone:** (574) 647-7413 · **Fax:** (574) 647-2471
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 734 clinicians in 45 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (188), Family Practice (113), Certified Registered Nurse Anesthetist (CRNA) (49); 32 practice at this address and 365 within 10 miles; [full list](https://npiprofile.com/npi/1518302264/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 30, 2016
- **Other identifiers:** Medicaid 201164630A (IN); Medicare PIN 261970 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1518302264) · Data from the CMS NPPES public registry.