Active NPI
Allison Kate Molencupp, CNM
- Advanced Practice Midwife
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 09000508A
- Practice address
- 100 Navarre PL Ste 4470
South Bend, IN 46601-1168 - Phone
- (574) 647-1405
- Fax
- (574) 647-3970
- NPI assigned
- Sep 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 09000508A | IN | Primary |
Addresses
Primary practice location
100 Navarre PL Ste 4470
South Bend, IN 46601-1168
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-3725
Other practice location 1
5314 Lincolnway E
Mishawaka, IN 46544-4249
Phone (574) 584-2812
Other practice location 2
202 Lincolnway E Ste 201
Mishawaka, IN 46544-2079
Phone (574) 584-2812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300121529 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3245 Health Dr
Suite 100
Granger, IN 46530-1380
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09000508A | IN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Medical Group, Inc. | Advanced Practice Midwife | Current | Accepting new patients |
| Beacon Medical Group Inc | Current | Accepting new patients |
Locations
6913 N Main St
Granger, IN 46530
Phone (574) 647-1500
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129
202 Lincolnway E
Ste 201
Mishawaka, IN 46544
Phone (574) 584-2812
5314 Lincolnway E
Mishawaka, IN 46544
Phone (574) 256-9032
615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000
100 Navarre Pl
Ste 4470
South Bend, IN 46601
Phone (574) 647-1300
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Federally Qualified Health Center (FQHC)
- Valparaiso, IN
- NPI 1528262581
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1275550899
Advanced Practice Midwife
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1003795121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HEALTH DR STE 100",
"city": "GRANGER",
"state": "IN",
"postal_code": "465301380",
"telephone_number": "574-647-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NAVARRE PL STE 4470",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011168",
"telephone_number": "574-647-1405",
"fax_number": "574-647-3970"
}
],
"practiceLocations": [
{
"address_1": "5314 Lincolnway E",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465444249",
"country_code": "US",
"telephone_number": "574-584-2812",
"fax_number": "574-584-2813",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "202 Lincolnway E Ste 201",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465442079",
"country_code": "US",
"telephone_number": "574-584-2812",
"fax_number": "574-584-2813",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLENCUPP",
"first_name": "ALLISON",
"middle_name": "KATE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-02",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IN",
"license": "09000508A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300121529",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.