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

Mr. Kenneth Francis Raderstorf III, NP

Individual provider Family Nurse Practitioner · NPI 1023682416

Mr. Kenneth Francis Raderstorf III, NP is a Nurse Practitioner in Elkhart, Indiana. Graduated from Indiana Medical College, School of Medicine of Purdue University in 2021, 5 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 7 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Trained at
Indiana Medical College, School of Medicine of Purdue University
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

3301 County Road 6 E
Elkhart, IN 46514-7673
Phone: (574) 266-5342
Fax: (574) 266-5847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 1753 Fulton St, Elkhart, IN 46514-1927 — (574) 293-9448
  • 2222 Rieth Blvd Ste 100, Goshen, IN 46526-5869 — (574) 874-1200
  • 2222 Rieth Blvd Ste 104, Goshen, IN 46526-5869 — (574) 875-1082
  • 6913 N Main St, Granger, IN 46530-8039 — (574) 647-1500
  • 206 W Warren St, Middlebury, IN 46540-9410 — (574) 358-0042
  • 1815 E Ireland Rd, South Bend, IN 46614-2845 — (574) 647-1750

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 28222082A (IN)

Record details

NPI number1023682416
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 19, 2021
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolINDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY
Graduated 2021 (5 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Elkhart