Family Medicine
BEACON MEDICAL GROUP, INC.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1275550899 · enumerated 2006-07-17 · record updated 2026-03-18. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. JEFFREY COSTELLO, CFO · (574) 647-3549
Other names: BEACON MEDICAL GROUP MISHAWAKA
Addresses and phones
- Mailing address 3245 HEALTH DR STE 100, GRANGER, IN, 46530-1380 (574) 647-2129 Google Maps Apple Maps OpenStreetMap
- Practice location 5314 LINCOLNWAY E, MISHAWAKA, IN, 46544-4249 (574) 584-2812 Fax (574) 584-2813 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X
- Obstetrics & Gynecology 207V00000X
- Social Worker, Clinical 1041C0700X
- Nurse Practitioner, Women's Health 363LW0102X
- Internal Medicine, Cardiovascular Disease 207RC0000X
- Internal Medicine, Interventional Cardiology 207RI0011X
- Advanced Practice Midwife 367A00000X
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
MISHAWAKA, IN, 465444249
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.