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

Harrison Glen Walter, NP

Individual provider Adult Health Nurse Practitioner · NPI 1871176263

Harrison Glen Walter, NP is a Nurse Practitioner in South Bend, Indiana. Qualified in 2021, 5 years ago. Practices with Saint Joseph Regional Medical Center Inc, a 141-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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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)

  • 610 N Michigan St Ste 400, South Bend, IN 46601-1081 — (574) 647-8120

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 71015471A (IN)

Record details

NPI number1871176263
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 3, 2021
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024
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 2021 (5 years in practice)
Group practice Saint Joseph Regional Medical Center Inc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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