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

Mrs. Elizabeth Diane Schalliol, NP

Individual provider Women's Health Nurse Practitioner · NPI 1104973536

Mrs. Elizabeth Diane Schalliol, NP is a Nurse Practitioner in South Bend, Indiana. Qualified in 2005, 21 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
21
Licensed in
IN
In the registry since
2007
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

100 Navarre Pl Ste 4470
South Bend, IN 46601-1168
Phone: (574) 647-1405
Fax: (574) 647-3970
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 202 Lincolnway E Ste 201, Mishawaka, IN 46544-2079 — (574) 584-2812

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 71002043A (IN)

Record details

NPI number1104973536
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 5, 2007
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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