WALTER RAUL OSORIO
NPI 1811608334
Nurse Practitioner - Acute Care in South Bend, IN

Active since December 06, 2022PECOS EnrolledAccepts Medicare Assignment
621 MEMORIAL DR STE 502, SOUTH BEND, IN 46601(574) 647-5875(574) 647-5878 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2025, Jun 1, 2023, Dec 6, 2022 (3 updates tracked since 2022).

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

NPI1811608334
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameWALTER RAUL OSORIO
Location Address621 MEMORIAL DR STE 502South Bend, IN 46601-1075
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-2129
Fax(574) 647-5878
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 6, 2022
Last NPPES UpdateJune 20, 20253 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
NPI 1811608334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in IN · 71013751A
621 MEMORIAL DR STE 502, South Bend, IN 46601

Secondary Practice Location 1

Location 1500 Arcade Ave Ste 320Elkhart, IN 46514-2477 · Phone (574) 523-7900 · Fax (574) 523-7909

Other Identifiers 1

Medicaid300075201IN

Accepted 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

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.

PECOS PAC ID4587020474
PECOS Enrollment IDI20230518002795
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.

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 19

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

Nurse Practitioner (Family)
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Surgery (Vascular Surgery)
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Surgery
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Surgery (Trauma Surgery)
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Nurse Practitioner (Acute Care)
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Nurse Practitioner (Gerontology)
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Physician Assistant (Surgical)
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Nurse Practitioner (Adult Health)
621 MEMORIAL DR STE 502
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.

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 with the weekly NPPES data releases published by CMS.