Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brooke Waite

Individual provider Nurse Practitioner · NPI 1801500046

Brooke Waite is a Nurse Practitioner in South Bend, Indiana. Qualified in 2025, 1 year ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

100 Navarre Pl Ste 5500
South Bend, IN 46601-1172
Phone: (574) 647-5200
Fax: (574) 647-5210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6480 Technology Ave Ste A, Kalamazoo, MI 49009-8126 — (877) 232-2857
  • 801 Hazen St, Paw Paw, MI 49079-2008 — (269) 657-5574

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704312163 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704312169 (MI)

Record details

NPI number1801500046
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 12, 2023
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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