Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Caroline L Walters, PA-C

Individual provider Physician Assistant · NPI 1235740689

Caroline L Walters, PA-C is a Physician Assistant in South Bend, Indiana. Qualified in 2020, 6 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

621 Memorial Dr Ste 502
South Bend, IN 46601-1075
Phone: (574) 647-5875
Fax: (574) 647-5878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 Arcade Ave Ste 320, Elkhart, IN 46514-2477 — (574) 523-7900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10003018A (IN)

Record details

NPI number1235740689
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 10, 2020
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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