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

Theresa Malcom, FNP

Individual provider Family Medicine Physician · NPI 1871224576

Theresa Malcom, FNP is a Nurse Practitioner in Elkhart, Indiana. Qualified in 2022, 4 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
4
Licensed in
IN
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

500 Arcade Ave Ste 210
Elkhart, IN 46514
Phone: (574) 389-5656
Fax: (574) 523-7891
Show map & directions

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

Additional practice locations (1)

  • 23853 Summerwood Ln, Elkhart, IN 46517-3592 — (574) 298-5054

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71012835A (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence F05220661 (IN)

Record details

NPI number1871224576
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedJune 22, 2022
Last updated in NPPESJanuary 11, 2023
Certification dateJanuary 11, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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