Individual provider Active NPI

Loren Michelle Calderone, NP-C

  • Family Nurse Practitioner
  • Mishawaka, IN
National Provider Identifier
1437763299
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010314A Issued in IN
Practice address
710 Park PL
Mishawaka, IN 46545-3519
Phone
(574) 273-6776
NPI assigned
Aug 31, 2020
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71010314A IN Primary

Addresses

Primary practice location

710 Park PL
Mishawaka, IN 46545-3519

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-3725

Other practice location 1

2257 Karisa Dr
Goshen, IN 46526-6942
Phone (574) 312-6611

Other practice location 2

820 Waterbury Park Dr
Elkhart, IN 46517-2358
Phone (574) 970-0777

Other practice location 3

621 Memorial Dr Ste 511
South Bend, IN 46601-1075
Phone (574) 544-5580

Other practice location 4

1020 High Rd
Bremen, IN 46506-1093
Phone (574) 309-9967

Other identifiers 1

IdentifierTypeStateIssuer
300042926MedicaidIN

Other names 1

  • Loren Michelle Harris Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201005000381 IN Practitioner - Nurse Practitioner 1951720317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians

Practice addresses (Care Compare)

621 Memorial Dr
Suite 511
South Bend, IN 46601-1075
Phone (574) 544-5580

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71010314AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Physicians LLC CurrentSince Oct 5, 2020 Accepting new patients
Beacon Medical Group Inc CurrentSince Mar 2, 2026 Accepting new patients
Nephrology Physicians LLC CurrentSince Oct 5, 2020 Accepting new patients
Beacon Medical Group, Inc. CurrentSince Mar 2, 2026 Accepting new patients
Fresenius Medical Care Nephrology Partners Renal Care Centers, LLC Past Accepting new patients

Locations

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

820 Waterbury Park Dr
Elkhart, IN 46517
Phone (574) 970-0777

2257 Karisa Dr
Goshen, IN 46526
Phone (574) 294-4444

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

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

710 Park Pl
Mishawaka, IN 46545
Phone (574) 273-6767

621 Memorial Dr
Ste 511
South Bend, IN 46601
Phone (574) 232-3919

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lcalderone27825@direct.acumenmd.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1437763299",
    "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": "710 PARK PL",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453519",
            "telephone_number": "574-273-6776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2257 Karisa Dr",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465266942",
            "country_code": "US",
            "telephone_number": "574-312-6611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Waterbury Park Dr",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465172358",
            "country_code": "US",
            "telephone_number": "574-970-0777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 Memorial Dr Ste 511",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466011075",
            "country_code": "US",
            "telephone_number": "574-544-5580",
            "fax_number": "574-544-5579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 High Rd",
            "address_purpose": "LOCATION",
            "city": "Bremen",
            "state": "IN",
            "postal_code": "465061093",
            "country_code": "US",
            "telephone_number": "574-309-9967",
            "fax_number": "574-309-9968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDERONE",
        "first_name": "LOREN",
        "middle_name": "MICHELLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010314A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300042926",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOREN",
            "last_name": "HARRIS",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.