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

Walter Raul Osorio

Individual provider Acute Care Nurse Practitioner · NPI 1811608334

Walter Raul Osorio is a Nurse Practitioner in South Bend, Indiana. Qualified in 2023, 3 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
3
Licensed in
IN
In the registry since
2022

Practice location Address checks out

621 Memorial Dr Ste 502
South Bend, IN 46601-1075
Phone: (574) 647-5875
Fax: (574) 647-5878
Show map & directions

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

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 71013751A (IN)

Record details

NPI number1811608334
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 6, 2022
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
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 2023 (3 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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