DEACONESS CLINIC I
NPI 1043466329
Family Medicine in Evansville, IN

Active since August 18, 2008CLIA 15D0932642 · Waiver
15814 NEELEY ST, EVANSVILLE, IN 47725(812) 867-8991(812) 867-8995 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 8, 2020, Aug 10, 2017, Nov 4, 2016 (3 updates tracked since 2016).

  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 15D0932642
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-28-2027

About DEACONESS CLINIC I

This page provides the complete NPI Profile along with additional information for Deaconess Clinic I, a primary care provider established in Evansville, Indiana operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1043466329 assigned on August 2008. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Deaconess Clinic I operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Deaconess Clinic I. The authorized official of this NPI record is Cheryl A Wathen (Cfo)

NPI
1043466329 Verify this NPI
Provider Legal Name
DEACONESS CLINIC, INC
Other Organization Name
DEACONESS CLINIC I
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
15814 NEELEY ST EVANSVILLE, IN 47725
Location Phone
(812) 867-8991
Location Fax
(812) 867-8995
Mailing Address
PO BOX 1510 EVANSVILLE, IN 47706
Mailing Phone
(812) 450-6815
Mailing Fax
(812) 450-6822
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2008
Last Update Date
07-08-2020
Code Navigator

A primary care provider (PCP) like Deaconess Clinic I sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
2363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 
3363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHERYL A WATHEN

Authorized Official Title
CFO
Authorized Official Phone
(812) 450-3296

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D0932642
Facility Type
Physician Office
Certificate Effective Date
September 29, 2025
Certificate Expiration Date
September 28, 2027
Laboratory Director
SHALONDA NEWCOMB
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Deaconess Clinic I to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for DEACONESS CLINIC I

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Family Medicine
15814 NEELEY ST
EVANSVILLE, IN 47725
Pediatrics
15814 NEELEY ST
EVANSVILLE, IN 47725
Nurse Practitioner
15814 NEELEY ST
EVANSVILLE, IN 47725
Family Medicine
15814 NEELEY ST
EVANSVILLE, IN 47725
Internal Medicine
15814 NEELEY ST
EVANSVILLE, IN 47725
Nurse Practitioner
15814 NEELEY ST
EVANSVILLE, IN 47725

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043466329, enumerated as an "organization" on August 18, 2008.

The provider is located at 15814 NEELEY ST EVANSVILLE, IN 47725 and the phone number is (812) 867-8991.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.