MEMORIAL'S PRENATAL CLINIC @ OLIVE STREET
NPI 1902134521
Advanced Practice Midwife in South Bend, IN

Active since November 19, 2009
244 S OLIVE ST, SUITE E, SOUTH BEND, IN 46619(574) 647-1600(574) 237-6069 Get Directions Write a Review

NPPES record last updated: March 9, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Memorial's Prenatal Clinic @ Olive Street NPPES

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

MEMORIAL'S PRENATAL CLINIC @ OLIVE STREET (NPI 1902134521) is a healthcare organization registered as an advanced practice midwife in South Bend, Indiana and active in the NPI registry since November 2009. The organization lists Jeffrey P. Costello, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1902134521
Entity TypeOrganization
Primary Taxonomy367A00000X
Legal Business NameMEMORIAL HEALTH SYSTEM, INC.
Location Address244 S OLIVE ST, SUITE ESouth Bend, IN 46619-2100
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610
Fax(574) 237-6069
Organization SubpartNo
Authorized OfficialJeffrey P. CostelloVp/cfo · (574) 647-3549
Enumeration DateNovember 19, 2009
Last NPPES UpdateMarch 9, 2016
✔ NPI 1902134521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in IN · 09000186A
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.
244 S OLIVE ST, South Bend, IN 46619

Other Names 1

Doing Business AsMemorial's Prenatal Clinic @ Olive Street

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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's Prenatal Clinic @ Olive Street is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

734

Medicare enrollment records show 734 clinicians reassign Medicare billing to Memorial's Prenatal Clinic @ Olive Street, which bills Medicare for the services they deliver. Of these, 364 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 45

Nurse Practitioner188
Family Practice113
Certified Registered Nurse Anesthetist (CRNA)49
Obstetrics/Gynecology49
Internal Medicine42
Neurology29
Pediatric Medicine28
Psychiatry21
37 other specialties215

Nearest to this location (20)

See all 734
Sports Medicine
NPI 1700231313
111 W JEFFERSON BLVD STE 100
South Bend, IN 46601
(574) 647-1670
✔ PECOS✔ Accepts Medicare1.6 mi
Family Practice
NPI 1316501257
111 W JEFFERSON BLVD STE 100
South Bend, IN 46601
(574) 647-1670
✔ PECOS✔ Accepts Medicare1.6 mi
Interventional Cardiology
NPI 1023053022
610 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8120
✔ PECOS✔ Accepts Medicare1.7 mi
Cardiovascular Disease (Cardiology)
NPI 1831196641
610 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8120
✔ PECOS1.7 mi
Nurse Practitioner
NPI 1942650726
610 N MICHIGAN ST SUITE 400
South Bend, IN 46601
(574) 647-8120
✔ PECOS✔ Accepts Medicare1.7 mi
Thoracic Surgery
NPI 1942520762
610 N MICHIGAN ST STE 306
South Bend, IN 46601
(574) 647-6500
✔ PECOS✔ Accepts Medicare1.7 mi
Cardiac Electrophysiology
NPI 1366404782
610 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8120
✔ PECOS1.7 mi
Internal Medicine
NPI 1326380247
610 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8120
✔ PECOS✔ Accepts Medicare1.7 mi
Pulmonary Disease
NPI 1578547402
621 MEMORIAL DR STE 512
South Bend, IN 46601
(574) 246-9350
✔ PECOS✔ Accepts Medicare1.7 mi
General Surgery
NPI 1194177451
621 MEMORIAL DR STE 502
South Bend, IN 46601
(574) 647-5875
✔ PECOS✔ Accepts Medicare1.7 mi
Physical Medicine and Rehabilitation
NPI 1093888430
621 MEMORIAL DR STE 624
South Bend, IN 46601
(574) 647-8177
✔ PECOS✔ Accepts Medicare1.7 mi
Certified Nurse Midwife (CNM)
NPI 1972857704
621 MEMORIAL DR STE 403
South Bend, IN 46601
(574) 647-1405
✔ PECOS✔ Accepts Medicare1.7 mi
Gastroenterology
NPI 1386647170
621 MEMORIAL DR STE 511
South Bend, IN 46601
(574) 544-5580
✔ PECOS✔ Accepts Medicare1.7 mi
Critical Care (Intensivists)
NPI 1629052543
621 MEMORIAL DR STE 302
South Bend, IN 46601
(574) 246-9350
✔ PECOS✔ Accepts Medicare1.7 mi
Hematology/Oncology
NPI 1457666497
621 MEMORIAL DR STE 100
South Bend, IN 46601
(574) 647-1100
✔ PECOS✔ Accepts Medicare1.7 mi
Psychiatry
NPI 1619381993
707 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8470
✔ PECOS✔ Accepts Medicare1.7 mi
Hospitalist
NPI 1932662780
615 N MICHIGAN ST FL 1
South Bend, IN 46601
(574) 647-3050
✔ PECOS✔ Accepts Medicare1.7 mi
Radiation Oncology
NPI 1790770964
615 N MICHIGAN ST
South Bend, IN 46601
(574) 647-1100
✔ PECOS✔ Accepts Medicare1.7 mi
Neurology
NPI 1477603504
615 N MICHIGAN ST FL 1
South Bend, IN 46601
(574) 647-1610
✔ PECOS✔ Accepts Medicare1.7 mi
Medical Oncology
NPI 1215900311
615 N MICHIGAN ST
South Bend, IN 46601
(574) 647-1100
✔ PECOS✔ Accepts Medicare1.7 mi
See all 734 clinicians

Source: 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 Memorial Health System, Inc.'s NPI number?

The NPI number for Memorial Health System, Inc. is 1902134521. It was assigned to this organization in the NPPES registry on November 19, 2009. The provider is doing business as Memorial's Prenatal Clinic @ Olive Street.

Where is Memorial Health System, Inc. located?

Memorial Health System, Inc. is located at 244 S Olive St Suite E, South Bend, IN 46619. The listed phone number is (574) 647-1600.

What is Memorial Health System, Inc.'s specialty?

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

Is Memorial Health System, Inc. enrolled in Medicare?

Yes. Memorial Health System, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Memorial Health System, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 734 clinicians in 45 Medicare specialties reassign their Medicare billing to Memorial Health System, 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, 364 practice 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 Memorial Health System, Inc. was last updated on March 9, 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.