Individual provider Active NPI

Joshua Stewart, CRNA

  • Certified Registered Nurse Anesthetist
  • South Bend, IN
National Provider Identifier
1083258099
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28254339A Issued in IN
Practice address
211 N Eddy St
South Bend, IN 46617-2808
Phone
(574) 234-8161
NPI assigned
Nov 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 28254339A IN Primary

Addresses

Primary practice location

211 N Eddy St
South Bend, IN 46617-2808

Mailing address

600 East Blvd
Elkhart, IN 46514-2483
Phone (574) 294-2621

Other identifiers 1

IdentifierTypeStateIssuer
300033289MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200122000772 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608201694 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jebs Anesthesia Consultants, LLCGroup PAC ID 4486046646, 37 clinicians
The South Bend Clinic LLCGroup PAC ID 3779577937, 171 clinicians
United Surgeons LLCGroup PAC ID 0941260061, 22 clinicians
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians

Practice addresses (Care Compare)

1020 High Rd
Bremen, IN 46506-1093
Phone (574) 546-2211

211 N Eddy St
South Bend, IN 46617-2808
Phone (574) 234-8161

4455 Edison Lakes Pkwy
Mishawaka, IN 46545-1414
Phone (574) 231-6800

600 E Blvd
Beacon Medical Group Anesthesia Elk
Elkhart, IN 46514-2483
Phone (574) 524-8130

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
28254339AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group Inc CurrentSince Aug 19, 2022 Accepting new patients
United Surgeons, LLC Current Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 2, 2021 Accepting new patients
U S Anesthesia Partners of Kentucky PSC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
The South Bend Clinic, LLC CurrentSince Apr 26, 2022 Accepting new patients
The South Bend Clinic LLC CurrentSince Apr 26, 2022 Accepting new patients
Jebs Anesthesia Consultants, LLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967

500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683

600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621

10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

900 I St
Laporte, IN 46350
Phone (219) 324-1670

3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498

3930 Edison Lakes Pkwy
Ste 100
Mishawaka, IN 46545

4455 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 231-6134

6301 University Commons
Ste 360
South Bend, IN 46635
Phone (574) 232-4800

211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331

Interoperability endpoints

  • FHIR API: https://epicproxy.et1296.epichosted.com/APIProxyPRD/api/FHIR/R4/

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1083258099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 EAST BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142483",
            "telephone_number": "574-294-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N EDDY ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172808",
            "telephone_number": "574-234-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JOSHUA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-01",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28254339A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300033289",
            "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 Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.