Deactivated NPI 1114917481 Deactivated / Inactive NPI Male Practitioner

Juan Galvan , NP

Nurse Practitioner • South Bend, IN

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Juan Galvan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 26, 2005

NPI Deactivation Date April 26, 2024

Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Juan Galvan, NP was a registered Nurse Practitioner practicing in South Bend, IN. Throughout an active medical career spanning 19 years, Juan Galvan provided care at the practice location at 211 N EDDY ST until profile deactivation on 2024-04-26.

Historical Medicare Part B clinical services included established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of skin growth. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

211 N Eddy St

South Bend, IN 466172808

Telephone 5742379231

Fax 5742379208

Associated Practice Facility / Clinic

🏢 The South Bend Clinic Llp Facility NPI 1538257167

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in South Bend, IN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 6.2 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

38 Specialists

Practicing in South Bend, IN (2620 Statewide)

Telehealth Adoption Rate

2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	193	184	$154.89	$73.70
17003 Destruction of precancer skin growth, 2-14 growths	72	28	$10.78	$5.41
17000 Destruction of skin growth	45	44	$110.88	$52.69
11102 Tangential biopsy of single skin lesion	36	35	$173.46	$82.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$190.66	$92.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$220.19	$101.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	228	51	$10.83	$5.24
99213 Established patient office or other outpatient visit, typically 15 minutes	191	179	$154.89	$74.68
11102 Tangential biopsy of single skin lesion	84	83	$173.46	$83.75
17000 Destruction of skin growth	71	68	$110.88	$50.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	64	$220.19	$105.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$190.66	$92.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	34	$94.69	$45.39
17110 Destruction of up to 14 skin growths	25	24	$189.30	$91.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$286.00	$138.92
11103 Biopsy of related skin growth, each additional growth	20	14	$88.46	$42.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	96	23	$11.74	$4.82
99213 Established patient office or other outpatient visit, typically 15 minutes	84	68	$122.00	$60.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	43	$73.00	$36.17
11102 Tangential biopsy of single skin lesion	48	45	$211.21	$78.14
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$125.00	$60.85
17000 Destruction of skin growth	33	30	$139.91	$51.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$179.00	$86.45
17110 Destruction of up to 14 skin growths	15	14	$237.27	$89.12
11103 Biopsy of related skin growth, each additional growth	12	12	$113.00	$42.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	159	127	$73.00	$36.11
17003 Destruction of precancer skin growth, 2-14 growths	154	27	$11.00	$4.39
99213 Established patient office or other outpatient visit, typically 15 minutes	105	82	$122.00	$59.82
11102 Tangential biopsy of single skin lesion	62	60	$210.00	$78.57
17000 Destruction of skin growth	55	42	$141.00	$47.29
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$125.00	$61.25
11103 Biopsy of related skin growth, each additional growth	26	14	$113.00	$42.40
17110 Destruction of up to 14 skin growths	25	21	$238.00	$86.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	149	39	$13.79	$4.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	142	118	$73.00	$34.85
99202 New patient office or other outpatient visit, typically 20 minutes	90	90	$120.78	$59.80
99213 Established patient office or other outpatient visit, typically 15 minutes	65	60	$116.94	$58.26
11100 Biopsy of single growth of skin and/or tissue	62	59	$204.26	$82.59
17000 Destruction of skin growth	60	54	$174.00	$45.27
17110 Destruction of up to 14 skin growths	47	30	$218.91	$85.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$166.22	$85.49
11101 Biopsy of each additional growth of skin and/or tissue	15	11	$72.67	$25.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,115	201	$28.00	$4.54
99213 Established patient office or other outpatient visit, typically 15 minutes	727	513	$110.00	$59.49
17000 Destruction of skin growth	274	242	$138.00	$47.24
17110 Destruction of up to 14 skin growths	155	126	$200.00	$87.93
11100 Biopsy of single growth of skin and/or tissue	151	145	$198.00	$79.17
99202 New patient office or other outpatient visit, typically 20 minutes	105	105	$119.00	$60.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$175.00	$88.34
17004 Destruction of precancer skin growth, 15 or more growths	52	47	$495.00	$121.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	42	$130.00	$87.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	43	$60.00	$35.25
11101 Biopsy of each additional growth of skin and/or tissue	41	36	$115.00	$26.85
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	15	$337.45	$109.22
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	13	$385.00	$119.66
69100 Biopsy of ear	14	13	$150.00	$72.50
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$430.00	$153.03

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71000318A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners

Kelly Losiniecki , NP

Nurse Practitioner - Family

NPI 1013288448

Nurse Practitioner

Regina Jasiewicz , FNP

Nurse Practitioner - Family

NPI 1033119904

Family Nurse Practitioner

Dr. Linda Higginbotham , MD

Dermatology

NPI 1134189053

Doctor of Medicine (M.D.)

Jillian Colpitts , FNP

Nurse Practitioner - Family

NPI 1215272224

Family Nurse Practitioner

Amanda Alberding , ANP

Nurse Practitioner - Family

NPI 1346597630

Adult Nurse Practitioner

Dr. Mark Meekhof , MD

Obstetrics & Gynecology

NPI 1427048834

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

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NPI Profile Deactivated April 26, 2024

Record deactivated on April 26, 2024

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Updated Practice Location December 31, 2019

Registered at 611 E DOUGLAS RD STE 310, MISHAWAKA, IN 465451467 (Tel: 5743357650)

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Updated Business Mailing Address December 31, 2019

Registered at 707 CEDAR ST STE 200, SOUTH BEND, IN 466172057 (Tel: 5743358707)

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Updated Business Mailing Address May 01, 2018

Registered at 230 E DAY RD STE 130, MISHAWAKA, IN 465453408 (Tel: 5743357650)

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NPI Profile Active February 25, 2010

NPI status registered as active in NPPES database

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Updated Practice Location February 25, 2010

Registered at 211 N EDDY ST, SOUTH BEND, IN 466172808 (Tel: 5742379231)

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Updated Business Mailing Address February 25, 2010

Registered at 211 N EDDY ST, SOUTH BEND, IN 466172808 (Tel: 5742379231)

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Provider Name / Credentials Updated February 25, 2010

Recorded as JUAN GALVAN, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2010

Nurse Practitioner (License #71000318A in IN)

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Initial NPI Registration & Enumeration October 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114917481

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 26, 2005

Last Update: February 25, 2010

Deactivation Date: April 26, 2024

Update or Correct Profile

Mailing Address

211 N Eddy St

South Bend, IN 466172808

Phone: 5742379231

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.