DEACONESS CLINIC - S GREEN RIVER RD
NPI 1023644838
Family Medicine in Evansville, IN

Active since March 13, 2020CLIA Certified · 2 labs
1000 S GREEN RIVER RD, EVANSVILLE, IN 47715(812) 450-6879(812) 858-4586 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 17, 2020, Mar 13, 2020 (2 updates tracked since 2020).

About Deaconess Clinic - S Green River Rd NPPES

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

DEACONESS CLINIC - S GREEN RIVER RD (NPI 1023644838) is a healthcare organization registered as a family medicine in Evansville, Indiana and active in the NPI registry since March 2020. The organization holds 2 active CLIA laboratory certificates and lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1023644838
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS CLINIC, INC.
Location Address1000 S GREEN RIVER RDEvansville, IN 47715-6802
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 450-6815 · Fax (812) 450-6822
Fax(812) 858-4586
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296
Enumeration DateMarch 13, 2020
Last NPPES UpdateNovember 17, 20202 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
✔ NPI 1023644838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1000 S GREEN RIVER RD, Evansville, IN 47715

Other Names 1

Doing Business AsDeaconess Clinic - S Green River Rd

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deaconess Clinic - S Green River Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

444

Medicare enrollment records show 444 clinicians reassign Medicare billing to Deaconess Clinic - S Green River Rd, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 274 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Nurse Practitioner193
Family Practice97
Pediatric Medicine33
Internal Medicine21
Otolaryngology14
Gastroenterology13
Urology9
Endocrinology8
18 other specialties56

Nearest to this location (20)

See all 444
Nurse Practitioner
NPI 1881392439
1000 S GREEN RIVER RD
Evansville, IN 47715
(812) 853-6627
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1932760477
1000 S GREEN RIVER RD
Evansville, IN 47715
(812) 853-6627
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1609303015
1000 S GREEN RIVER RD
Evansville, IN 47715
(812) 450-8751
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1740849553
1000 S GREEN RIVER RD
Evansville, IN 47715
(812) 853-6627
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1316476401
1000 S GREEN RIVER RD
Evansville, IN 47715
(812) 450-8751
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144622572
4949 HEALTHY WAY STE A
Evansville, IN 47715
(812) 868-0530
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1841961802
4949 HEALTHY WAY STE A
Evansville, IN 47715
(812) 868-0530
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1114376662
4949 HEALTHY WAY STE A
Evansville, IN 47715
(812) 868-5030
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1811741044
4933 E PLAZA EAST BLVD
Evansville, IN 47715
(812) 401-8720
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1194206789
700 KIMBER LN
Evansville, IN 47715
(812) 476-7111
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1225421886
7307 E COLUMBIA ST STE 101
Evansville, IN 47715
(812) 473-1737
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1932113032
7307 E COLUMBIA ST STE 101
Evansville, IN 47715
(812) 473-1737
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1528494150
6221 PHYSICIANS CT STE 1
Evansville, IN 47715
(812) 479-3453
✔ PECOS✔ Accepts Medicare1.0 mi
Allergy/Immunology
NPI 1508974841
6221 PHYSICIANS CT SUITE 1
Evansville, IN 47715
(812) 479-3153
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1710386214
4972 LINCOLN AVE STE 101
Evansville, IN 47715
(812) 402-3700
✔ PECOS✔ Accepts Medicare1.0 mi
Pediatric Medicine
NPI 1821136854
3700 BELLEMEADE AV STE 117
Evansville, IN 47714
(812) 485-7254
✔ PECOS1.3 mi
Qualified Audiologist
NPI 1609844109
3801 BELLEMEADE AVE
Evansville, IN 47714
(812) 425-2646
✔ Accepts Medicare1.3 mi
Neurology
NPI 1093719841
801 SAINT MARYS DR STE 303
Evansville, IN 47714
(812) 477-1560
✔ PECOS✔ Accepts Medicare1.5 mi
Internal Medicine
NPI 1669121836
3700 WASHINGTON AVE
Evansville, IN 47714
(812) 485-4000
✔ PECOS✔ Accepts Medicare1.6 mi
Gastroenterology
NPI 1386689354
3900 WASHINGTON AVE STE 100
Evansville, IN 47714
(812) 485-6694
✔ PECOS✔ Accepts Medicare1.7 mi
See all 444 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 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 15D2182160

Deaconess Clinic South Green River · Evansville, IN
Active · expires Apr 15, 2028
CLIA Number15D2182160
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorBrent Thomason
Laboratory Phone(812) 450-8751
Laboratory LocationDeaconess Clinic South Green River1000 S Green River Rd, Evansville, IN 47715
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2118637

Deaconess Clinic Express · Evansville, IN
Active · expires Sep 12, 2028
CLIA Number15D2118637
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2026
Certificate Expiration DateSeptember 12, 2028
Laboratory DirectorDr. Drew Mehta
Laboratory Phone(812) 436-4526
Laboratory LocationDeaconess Clinic Express2622 Menards Dr, Evansville, IN 47715
CLIA data matches this NPI record on: Name
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 Clinic, Inc.'s NPI number?

The NPI number for Deaconess Clinic, Inc. is 1023644838. It was assigned to this organization in the NPPES registry on March 13, 2020. The provider is doing business as Deaconess Clinic - S Green River Rd.

Where is Deaconess Clinic, Inc. located?

Deaconess Clinic, Inc. is located at 1000 S Green River Rd, Evansville, IN 47715. The listed phone number is (812) 450-6879.

What is Deaconess Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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), 444 clinicians in 26 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 (193), Family Practice (97) and Pediatric Medicine (33). Of these, 5 practice at this address and 274 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 Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Cigna Healthcare 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 November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.