DEACONESS CLINIC I
NPI 1003159997
Pediatrics in Henderson, KY
About Deaconess Clinic I NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEACONESS CLINIC I (NPI 1003159997) is a healthcare organization registered as a pediatrics in Henderson, Kentucky and active in the NPI registry since March 2013. The organization holds 2 active CLIA laboratory certificates and lists Cheryl A Wathen, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deaconess Clinic I is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
174Medicare enrollment records show 174 clinicians reassign Medicare billing to Deaconess Clinic I, which bills Medicare for the services they deliver. Of these, 76 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 174Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 18D0897017
Deaconess Clinic Henderson · Henderson, KYCertificate of Waiver 18D2062879
Deaconess Clinic Ped Elm St · Henderson, KYFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Deaconess Clinic, Inc's NPI number?
The NPI number for Deaconess Clinic, Inc is 1003159997. It was assigned to this organization in the NPPES registry on March 29, 2013. The provider is doing business as Deaconess Clinic I.
Where is Deaconess Clinic, Inc located?
Deaconess Clinic, Inc is located at 1035 N Elm St, Henderson, KY 42420. The listed phone number is (270) 827-4596.
What is Deaconess Clinic, Inc's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Deaconess Clinic, Inc enrolled in Medicare?
Yes. Deaconess Clinic, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deaconess Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 174 clinicians in 16 Medicare specialties reassign their Medicare billing to Deaconess Clinic, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (102), Family Practice (28) and Internal Medicine (7). Of these, 76 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Deaconess Clinic, Inc hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Deaconess Clinic, Inc accept?
Health plans from Anthem Blue Cross and Blue Shield list Deaconess Clinic, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Deaconess Clinic, Inc was last updated on August 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Deaconess Clinic I · NPI 1003159997
Pediatrics organization in Henderson, Kentucky. Organization record, active in the CMS NPPES registry since March 29, 2013.
## Identity
- **NPI:** 1003159997 (Entity type: Organization)
- **Enumerated:** March 29, 2013
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Legal business name:** Deaconess Clinic, Inc
- **Organization subpart:** No
- **Authorized official:** Cheryl Wathen, CFO
## Practice location
- **Address:** 1035 N ELM ST, Henderson, KY 42420-2712
- **Phone:** (270) 827-4596 · **Fax:** (270) 826-2838
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 174 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (102), Family Practice (28), Internal Medicine (7); 76 practice within 10 miles; [full list](https://npiprofile.com/npi/1003159997/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2017
- **Other identifiers:** Medicaid 7100051620 (KY)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003159997) · Data from the CMS NPPES public registry.