MEMORIAL'S PRENATAL CLINIC @ OLIVE STREET
NPI 1902134521
Advanced Practice Midwife in South Bend, IN
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
Specialties & Licenses
Other Names 1
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's Prenatal Clinic @ Olive Street 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'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
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 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.