Active NPI
Ruth Neal, APRN
- Family Nurse Practitioner
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71015115A
- Practice address
- 1815 E Ireland Rd
South Bend, IN 46614-2845 - Phone
- (574) 647-1700
- NPI assigned
- Sep 8, 2021
- Last updated
- Jul 24, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71015115A | IN | Primary |
Addresses
Primary practice location
1815 E Ireland Rd
South Bend, IN 46614-2845
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-3437
Other practice location 1
6901 N Main St Ste 102
Granger, IN 46530-8022
Phone (574) 647-5245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300089765 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1815 E Ireland Rd
Beacon Medical Group Ireland Rd
South Bend, IN 46614-2845
Phone (574) 647-1700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137088 | KS | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Indiana, LLC | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Family | Current | Accepting new patients |
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Privia Medical Group Indiana, LLC | Family | Current | Accepting new patients |
| Cotton-O'Neil Clinic Revocable Trust | Current | Accepting new patients | |
| Cotton-O'Neil Clinic Revocable Trust | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Past | Accepting new patients | |
| Privia Medical Group Indiana, LLC | Past | Accepting new patients |
Locations
303 S Nappanee St
Elkhart, IN 46514
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129
410 Park Pl
Mishawaka, IN 46545
Phone (574) 252-0667
410 Park Pl
#A
Mishawaka, IN 46545
Phone (574) 252-0667
410 Park Pl
#B
Mishawaka, IN 46545
Phone (574) 564-5863
1815 E Ireland Rd
South Bend, IN 46614
Phone (574) 647-1700
1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242
3520 SW 6th Ave
Topeka, KS 66606
Phone (785) 234-0880
901 SW Garfield Ave
Topeka, KS 66606
Interoperability endpoints
- rneal81301@stormontvaildirect.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Beacon Medical Group Schwartz - Wiekamp
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Multi-Specialty Clinic/Center
- Elkhart, IN
- NPI 1013912286
-
dba Cotton O'Neil
- Internal Medicine Physician
- Topeka, KS
- NPI 1811944457
-
dba Beacon Medical Group Anesthesia Elkhart
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
dba Beacon Medical Group Ireland Road
- Family Medicine Physician
- South Bend, IN
- NPI 1124079330
-
- Family Nurse Practitioner
- Wakarusa, IN
- NPI 1568147809
-
dba Stormont Vail Health DME
- Durable Medical Equipment & Medical Supplies
- Topeka, KS
- NPI 1700076015
-
- Orthopaedic Surgery Physician
- South Bend, IN
- NPI 1831149525
-
- Multi-Specialty Clinic/Center
- Mishawaka, IN
- NPI 1851497945
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elkhart, IN
- NPI 1477551489
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
dba Memorial Epworth Center
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
dba Beacon Granger Hospital, A Memorial Hospital Extension
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1396414827",
"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": "574-647-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 E IRELAND RD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466142845",
"telephone_number": "574-647-1700"
}
],
"practiceLocations": [
{
"address_1": "6901 N Main St Ste 102",
"address_purpose": "LOCATION",
"city": "Granger",
"state": "IN",
"postal_code": "465308022",
"country_code": "US",
"telephone_number": "574-647-5245",
"fax_number": "574-647-7572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEAL",
"first_name": "RUTH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-08",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71015115A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300089765",
"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 Jul 24, 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.