DEACONESS PAIN CLINIC
NPI 1013222322
Pain Medicine - Pain Medicine in Evansville, IN

Active since August 11, 2010CLIA 15D2338889 · Waiver
4600 W LLOYD EXPY, EVANSVILLE, IN 47712(812) 450-7246(812) 450-4855 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 28, 2022, Jul 12, 2019, Jul 6, 2017 (3 updates tracked since 2017).

About Deaconess Pain Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEACONESS PAIN CLINIC (NPI 1013222322) is a healthcare organization registered as a pain medicine in Evansville, Indiana and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through February 18, 2028 and lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013222322
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NameDEACONESS HOSPITAL, INC
Location Address4600 W LLOYD EXPYEvansville, IN 47712-6517
Mailing AddressPo Box 3407Evansville, IN 47733-3407 · (812) 450-4800 · Fax (812) 450-4855
Fax(812) 450-4855
Organization SubpartNo
Authorized OfficialCheryl A WathenCfo · (812) 450-3296
Enumeration DateAugust 11, 2010
Last NPPES UpdateJuly 28, 20223 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1013222322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4600 W LLOYD EXPY, Evansville, IN 47712

Other Names 1

Doing Business AsDeaconess Pain Clinic

Other Identifiers 1

Medicaid200226410HIN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deaconess Pain Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20040115000129Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

713

Medicare enrollment records show 713 clinicians reassign Medicare billing to Deaconess Pain Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 292 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 31

Certified Registered Nurse Anesthetist (CRNA)159
Nurse Practitioner114
Hospitalist104
Emergency Medicine48
Internal Medicine46
Anesthesiology42
Family Practice29
Pulmonary Disease29
23 other specialties142

Nearest to this location (20)

See all 713
Nurse Practitioner
NPI 1326382466
4600 W LLOYD EXPY
Evansville, IN 47712
(812) 450-7246
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376825786
4600 W LLOYD EXPY
Evansville, IN 47712
(812) 450-7246
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629444856
4600 W LLOYD EXPY
Evansville, IN 47712
(812) 450-7246
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1659833093
545 S BOEHNE CAMP RD
Evansville, IN 47712
(812) 402-1264
✔ PECOS0.9 mi
Psychiatry
NPI 1710091541
1 NORTH BARKER AVENUE
Evansville, IN 47712
(812) 423-4418
✔ PECOS1.2 mi
Nurse Practitioner
NPI 1770211179
309 N FIRST AVE
Evansville, IN 47710
(812) 450-4066
✔ PECOS3.1 mi
Anesthesiology
NPI 1740206283
21 SE 3RD ST STE 500
Evansville, IN 47708
(812) 473-0181
✔ PECOS✔ Accepts Medicare3.2 mi
Internal Medicine
NPI 1023577848
600 MARY ST
Evansville, IN 47710
(812) 450-5000
✔ PECOS✔ Accepts Medicare3.3 mi
Emergency Medicine
NPI 1710036892
600 MARY ST
Evansville, IN 47710
(812) 450-3405
✔ PECOS✔ Accepts Medicare3.3 mi
Hospitalist
NPI 1457000887
600 MARY ST
Evansville, IN 47710
(812) 450-5000
✔ PECOS✔ Accepts Medicare3.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1023416252
600 MARY ST
Evansville, IN 47710
(812) 450-3044
✔ PECOS✔ Accepts Medicare3.3 mi
Clinical Social Worker
NPI 1265020986
629 INGLE ST
Evansville, IN 47708
(812) 602-4022
✔ PECOS✔ Accepts Medicare3.3 mi
Hospice/Palliative Care
NPI 1568401503
520 MARY ST STE 340
Evansville, IN 47710
(812) 450-3201
✔ PECOS✔ Accepts Medicare3.3 mi
Neurology
NPI 1942620026
600 MARY STREET
Evansville, IN 47747
(812) 842-3082
✔ PECOS✔ Accepts Medicare3.3 mi
Interventional Cardiology
NPI 1437107521
600 MARY STREET
Evansville, IN 47747
(812) 450-7899
✔ PECOS✔ Accepts Medicare3.3 mi
Family Practice
NPI 1023095262
415 W COLUMBIA ST STE 110
Evansville, IN 47710
(812) 450-3363
✔ PECOS✔ Accepts Medicare3.3 mi
Clinical Psychologist
NPI 1023694379
120 SE 4TH ST
Evansville, IN 47708
(812) 426-9862
✔ PECOS✔ Accepts Medicare3.4 mi
Pulmonary Disease
NPI 1720690555
519 HARRIET ST
Evansville, IN 47710
(812) 450-7720
✔ PECOS✔ Accepts Medicare3.4 mi
Cardiovascular Disease (Cardiology)
NPI 1316900442
415 W COLUMBIA ST
Evansville, IN 47710
(812) 464-0521
✔ PECOS✔ Accepts Medicare3.4 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1235653908
350 W COLUMBIA ST STE 350
Evansville, IN 47710
(812) 450-7700
✔ PECOS✔ Accepts Medicare3.4 mi
See all 713 clinicians

Source: 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

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 15D2338889

Deaconess Hospital Inc · Newburgh, IN
Active · expires Feb 18, 2028
CLIA Number15D2338889
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 19, 2026
Certificate Expiration DateFebruary 18, 2028
Laboratory DirectorDr. William Michael Roberts
Laboratory Phone(812) 450-7246
Laboratory LocationDeaconess Hospital Inc4015 Gateway Blvd Suite 2120, Newburgh, IN 47630
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Hospital, Inc's NPI number?

The NPI number for Deaconess Hospital, Inc is 1013222322. It was assigned to this organization in the NPPES registry on August 11, 2010. The provider is doing business as Deaconess Pain Clinic.

Where is Deaconess Hospital, Inc located?

Deaconess Hospital, Inc is located at 4600 W Lloyd Expy, Evansville, IN 47712. The listed phone number is (812) 450-7246.

What is Deaconess Hospital, Inc's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Deaconess Hospital, Inc enrolled in Medicare?

Yes. Deaconess Hospital, Inc is registered in the Medicare PECOS enrollment system.

When is Deaconess Hospital, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Deaconess Hospital, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 713 clinicians in 31 Medicare specialties reassign their Medicare billing to Deaconess Hospital, 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 Certified Registered Nurse Anesthetist (CRNA) (159), Nurse Practitioner (114) and Hospitalist (104). Of these, 3 practice at this address and 292 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Deaconess Hospital, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2338889) is associated with this NPI, valid through February 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deaconess Hospital, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Deaconess Hospital, 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 Hospital, Inc was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.