DEACONESS CLINIC II
NPI 1033365986
Family Medicine in Newburgh, IN

Q: What is Deaconess Clinic Inc.'s NPI number?

The NPI number for Deaconess Clinic Inc. is 1033365986. It was assigned to this organization in the NPPES registry on August 12, 2008. The provider is doing business as Deaconess Clinic II.

Q: What is Deaconess Clinic Inc.'s specialty?

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

Active since August 12, 2008

4233 GATEWAY BLVD, NEWBURGH, IN 47630(812) 426-6638(812) 450-8109 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 20, 2022, Sep 23, 2020, Jan 10, 2020 and 3 more (6 updates tracked since 2017).

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About Deaconess Clinic Ii NPPES

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

DEACONESS CLINIC II (NPI 1033365986) is a healthcare organization registered as a family medicine in Newburgh, Indiana and active in the NPI registry since August 2008. The organization lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1033365986

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDEACONESS CLINIC INC.

Location Address4233 GATEWAY BLVDNewburgh, IN 47630-8900

Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 426-6638 · Fax (812) 450-8109

Phone(812) 426-6638

Fax(812) 450-8109

Organization SubpartNo

Authorized OfficialCheryl A WathenCfo · (812) 450-3296

Enumeration DateAugust 12, 2008

Last NPPES UpdateOctober 20, 20226 updates tracked since enumeration

NPPES CertifiedOctober 20, 2022

✔ NPI 1033365986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ 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 ListedAllergy & ImmunologyTaxonomy 207K00000X

Also ListedDermatologyTaxonomy 207N00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

4233 GATEWAY BLVD, Newburgh, IN 47630

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Other Names 1

Doing Business AsDeaconess Clinic Ii

Other Identifiers 5

Medicaid200910900IN

Other7100051640KY · Ky Medicaid Podiatry

Other7100318210KY · Kentucky Medicaid Physician Assistance

Other7100302340KY · Ky Medicaid Nurse Practitioner

Other7100302450KY · Ky Medicaid Physicians

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

534

Medicare enrollment records show 534 clinicians reassign Medicare billing to Deaconess Clinic II, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 278 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 27

Nurse Practitioner246

Family Practice117

Pediatric Medicine35

Internal Medicine25

Otolaryngology14

Gastroenterology13

Endocrinology9

Urology9

19 other specialties66

Nearest to this location (20)

See all 534

Vedant Borad

Plastic and Reconstructive Surgery

NPI 1114314374

4233 GATEWAY BLVD
Newburgh, IN 47630

(812) 426-9235

✔ PECOS✔ Accepts MedicareSame address

Gordon Brown, M.D.

Family Practice

NPI 1003233263

4233 GATEWAY BLVD
Newburgh, IN 47630

(812) 426-9700

✔ PECOS✔ Accepts MedicareSame address

Kimberly Burk, AGACNP-BC

Nurse Practitioner

NPI 1588335756

4233 GATEWAY BLVD
Newburgh, IN 47630

(812) 477-1560

✔ PECOS✔ Accepts MedicareSame address

Darren Dulay

Family Practice

NPI 1497240428

4233 GATEWAY BLVD
Newburgh, IN 47630

(812) 426-9700

✔ PECOS✔ Accepts MedicareSame address

Lorin Mickelsen, DPM

Podiatry

NPI 1689058356

4233 GATEWAY BLVD
Newburgh, IN 47630

(812) 858-5786

✔ PECOS✔ Accepts MedicareSame address

Naghma Mufti, M.D.

Neurology

NPI 1982691622

4233 GATEWAY BLVD
Newburgh, IN 47630

(812) 477-1560

✔ PECOS✔ Accepts MedicareSame address

Tyler Tidwell, DPM

Podiatry

NPI 1629462635

4233 GATEWAY BLVD
Newburgh, IN 47630

(812) 858-5786

✔ PECOS✔ Accepts MedicareSame address

Christopher Wood, M.D.

Family Practice

NPI 1609837970

4233 GATEWAY BLVD
Newburgh, IN 47630

(812) 853-7391

✔ PECOS✔ Accepts MedicareSame address

Daniel Borman, MD

Pediatric Medicine

NPI 1710471024

4219 GATEWAY BLVD
Newburgh, IN 47630

(812) 426-9545

✔ PECOSSame address

Brianna Rininger, NP

Nurse Practitioner

NPI 1073400370

4233 GATEWAY BLVD
Newburgh, IN 47630

(812) 426-9235

✔ PECOS✔ Accepts MedicareSame address

Samuel Kamoroff, MD

Neurology

NPI 1336776061

4233 GATEWAY BLVD., MOB 1 NEUROLOGY DEPARTMENT
Newburgh, IN 47630

(812) 477-1560

✔ PECOSSame address

Pranay Reddy, MD

Gastroenterology

NPI 1336643907

4219 GATEWAY BLVD
Newburgh, IN 47630

(812) 426-9545

✔ PECOSSame address

David Moore, M.D.

Urology

NPI 1497198261

4209 GATEWAY BLVD
Newburgh, IN 47630

(812) 426-9855

✔ PECOS✔ Accepts Medicare0.1 mi

Mallory Williams Zorn, MD

Pediatric Medicine

NPI 1255714705

4209 GATEWAY BLVD
Newburgh, IN 47630

(812) 853-5300

✔ PECOS0.1 mi

Stephanie Alexander

Nurse Practitioner

NPI 1225754781

4219 GATEWAY BLVD
Newburgh, IN 47630

(812) 426-9545

✔ PECOS✔ Accepts Medicare0.1 mi

William Coleman, M.D.

Neurology

NPI 1811343676

4209 GATEWAY BLVD STE 2100
Newburgh, IN 47630

(502) 418-3996

✔ PECOS✔ Accepts Medicare0.1 mi

Ruston Stoltz, M.D.

Family Practice

NPI 1023011418

4015 GATEWAY BLVD
Newburgh, IN 47630

(812) 858-9400

✔ PECOS✔ Accepts Medicare0.1 mi

Kareem El-Khodary, MD

Internal Medicine

NPI 1629607510

4015 GATEWAY BLVD
Newburgh, IN 47630

(812) 858-9400

✔ PECOS✔ Accepts Medicare0.2 mi

Megan Blankenberger, AUDIOLOGIST

Qualified Audiologist

NPI 1548798523

4015 GATEWAY BLVD
Newburgh, IN 47630

(812) 425-2646

✔ Accepts Medicare0.3 mi

Mia Hindi, M.D

Gastroenterology

NPI 1750582037

4015 GATEWAY BLVD
Newburgh, IN 47630

(812) 858-9400

✔ PECOS✔ Accepts Medicare0.3 mi

See all 534 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1033365986. It was assigned to this organization in the NPPES registry on August 12, 2008. The provider is doing business as Deaconess Clinic II.

Where is Deaconess Clinic Inc. located?

Deaconess Clinic Inc. is located at 4233 Gateway Blvd, Newburgh, IN 47630. The listed phone number is (812) 426-6638.

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), 534 clinicians in 27 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 (246), Family Practice (117) and Pediatric Medicine (35). Of these, 12 practice at this address and 278 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Deaconess Clinic Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield and 1 other insurer 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 October 20, 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.