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BEACON MEDICAL GROUP, INC.
NPI 1578862181
Advanced Practice Midwife in South Bend, IN

Active since March 22, 2011CLIA 15D2022442 · Waiver
100 NAVARRE PL STE 4470, SOUTH BEND, IN 46601(574) 647-1405(574) 647-3970 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 2, 2020, Aug 30, 2016 (2 updates tracked since 2016).

About Beacon Medical Group, Inc. NPPES

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

BEACON MEDICAL GROUP, INC. (NPI 1578862181), doing business as Beacon Medical Group Midwifery Centered Care South Bend, is a healthcare organization registered as an advanced practice midwife in South Bend, Indiana and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through September 24, 2027, maintains a secondary practice location in South Bend, and lists Jeffrey P Costello, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1578862181
Entity TypeOrganization
Primary Taxonomy367A00000X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address100 NAVARRE PL STE 4470South Bend, IN 46601-1168
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380
Phone(574) 647-1405
Fax(574) 647-3970
Organization SubpartYesParent: Beacon Health System, Inc.
Authorized OfficialJeffrey P CostelloVp/cfo · (574) 647-3549
Enumeration DateMarch 22, 2011
Last NPPES UpdateJanuary 30, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2025
✔ NPI 1578862181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
100 NAVARRE PL STE 4470, South Bend, IN 46601
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Other Names 1

Doing Business AsBeacon Medical Group Midwifery Centered Care South Bend

Secondary Practice Location 1

Location 1621 Memorial Dr Ste 403South Bend, IN 46601-1074 · Phone (574) 647-1405 · Fax (574) 647-3970

Other Identifiers 1

Medicaid201020740AIN

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2022442

Beacon Medical Group Midwifery Centered Care South Bend · South Bend, IN
Active · expires Sep 24, 2027
CLIA Number15D2022442
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorLaura Mabry
Laboratory Phone(574) 647-1405
Laboratory LocationBeacon Medical Group Midwifery Centered Care South Bend100 Navarre Place, Suite 4470, South Bend, IN 46601
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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
100 NAVARRE PL STE 4470
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1405
HANNAH GRACE YODER CNM
Advanced Practice Midwife
100 NAVARRE PL STE 4470
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1405
MRS. ELIZABETH DIANE SCHALLIOL N.P.
Nurse Practitioner (Women's Health)
100 NAVARRE PL STE 4470
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1405
MICHELLE L WRIGHT CNM
Advanced Practice Midwife
100 NAVARRE PL STE 4470
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1405
DR. REBECCA ROCHELLE MCKOWN MD
Obstetrics & Gynecology
100 NAVARRE PL STE 4470
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1405
DR. ROBERT S CRUMB M.D.
Obstetrics & Gynecology
100 NAVARRE PL STE 4470
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1405
GABRIEL BOLADELE ROSANWO MD
Obstetrics & Gynecology
100 NAVARRE PL STE 4470
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1405
JO ANNA FRANCES CURLESS WHNP, IBCLC
Nurse Practitioner (Women's Health)
100 NAVARRE PL STE 4470
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1405

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 1578862181. It was assigned to this organization in the NPPES registry on March 22, 2011. The provider is doing business as Beacon Medical Group Midwifery Centered Care South Bend.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 100 Navarre Pl Ste 4470, South Bend, IN 46601. The listed phone number is (574) 647-1405.

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

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Does Beacon Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2022442) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beacon Medical Group, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Beacon Medical Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beacon Medical Group, Inc. was last updated on January 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.