WALTER RAUL OSORIO
NPI 1811608334
Nurse Practitioner - Acute Care in South Bend, IN
About Walter Raul Osorio NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALTER RAUL OSORIO (NPI 1811608334) is an individual acute care provider in South Bend, Indiana, licensed in Indiana (71013751A) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and maintains a secondary practice location in Elkhart.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Walter Raul Osorio 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.
Medicare Billing Reassignments
2Medicare enrollment records show Walter Osorio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Bend, IN 46601
- Reassigned Medicare billing, Indiana enrollment
- 734 clinicians in this Medicare group
Hardinsburg, KY 40143
- Reassigned Medicare billing, Indiana enrollment
- 67 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, INPhysician 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH BEND, IN 46601
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 Walter Osorio's NPI number?
The NPI number for Walter Osorio is 1811608334. It was assigned to this individual provider in the NPPES registry on December 6, 2022.
Where is Walter Osorio located?
Walter Osorio practices at 621 Memorial Dr Ste 502, South Bend, IN 46601. The listed phone number is (574) 647-5875.
What is Walter Osorio's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Walter Osorio enrolled in Medicare?
Yes. Walter Osorio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Walter Osorio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Walter Osorio reassigns Medicare benefits to 2 organizations: Beacon Medical Group, Inc. (South Bend, IN) and Concord Medical Group Of Kentucky PLLC (Hardinsburg, KY). Each 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 Walter Osorio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Walter Osorio accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Walter Osorio 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.
Is Walter Osorio affiliated with any hospitals?
According to CMS data, Walter Osorio is affiliated with Memorial Hospital Of South Bend.
When was this NPI record last updated?
The NPPES record for Walter Osorio was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Walter Raul Osorio · NPI 1811608334
Acute Care physician in South Bend, Indiana. Individual provider, active in the CMS NPPES registry since December 6, 2022.
## Identity
- **NPI:** 1811608334 (Entity type: Individual)
- **Enumerated:** December 6, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 71013751A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 621 MEMORIAL DR STE 502, South Bend, IN 46601-1075
- **Phone:** (574) 647-5875 · **Fax:** (574) 647-5878
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Beacon Medical Group, Inc. (NPI 1518302264, South Bend, IN); Concord Medical Group Of Kentucky PLLC (NPI 1346746385, Hardinsburg, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 20, 2025
- **Other identifiers:** Medicaid 300075201 (IN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1811608334) · Data from the CMS NPPES public registry.