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: November 01, 2026.

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

About Deaconess Clinic I NPPES

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

DEACONESS CLINIC I (NPI 1043466329) is a healthcare organization registered as a family medicine in Evansville, Indiana and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through September 28, 2027 and lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1043466329
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS CLINIC, INC
Location Address15814 NEELEY STEvansville, IN 47725-8420
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 450-6815 · Fax (812) 450-6822
Fax(812) 867-8995
Organization SubpartNo
Authorized OfficialCheryl A WathenCfo · (812) 450-3296
Enumeration DateAugust 18, 2008
Last NPPES UpdateJuly 8, 20203 updates tracked since enumeration
NPPES CertifiedJuly 8, 2020
✔ NPI 1043466329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedPediatricsTaxonomy 208000000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
15814 NEELEY ST, Evansville, IN 47725

Other Names 1

Doing Business AsDeaconess Clinic I

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 I 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 I, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 93 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 1184241200
15814 NEELEY ST
Evansville, IN 47725
(812) 867-8991
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1467897900
15814 NEELEY ST
Evansville, IN 47725
(812) 867-8991
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1942576871
15814 NEELEY ST
Evansville, IN 47725
(812) 867-8991
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1366977423
15814 NEELEY ST
Evansville, IN 47725
(812) 867-8991
✔ PECOSSame address
Family Practice
NPI 1144759234
15814 NEELEY ST
Evansville, IN 47725
(812) 867-8991
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1538945431
15814 NEELEY ST
Evansville, IN 47725
(812) 867-8991
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1225476146
14020 OLD STATE RD
Evansville, IN 47725
(812) 428-2746
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1255883500
13330 DARMSTADT RD
Evansville, IN 47725
(812) 867-8991
✔ PECOS✔ Accepts Medicare2.1 mi
Family Practice
NPI 1265449649
1033 E MOUNT PLEASANT RD SUITE D
Evansville, IN 47725
(812) 868-0530
✔ PECOS✔ Accepts Medicare4.5 mi
Family Practice
NPI 1245317429
1033 E MOUNT PLEASANT RD SUITE D
Evansville, IN 47725
(812) 868-0530
✔ PECOS✔ Accepts Medicare4.5 mi
Family Practice
NPI 1821175092
1033 E MOUNT PLEASANT RD SUITE D
Evansville, IN 47725
(812) 868-0530
✔ PECOS✔ Accepts Medicare4.5 mi
Family Practice
NPI 1396126710
8600 N KENTUCKY AVENUE
Evansville, IN 47722
(812) 426-9565
✔ PECOS✔ Accepts Medicare4.6 mi
Family Practice
NPI 1275600371
8600 N KENTUCKY AVE
Evansville, IN 47725
(812) 426-9565
✔ PECOS✔ Accepts Medicare4.6 mi
Family Practice
NPI 1528684685
8600 N KENTUCKY AVE
Evansville, IN 47725
(812) 426-9565
✔ PECOS✔ Accepts Medicare4.6 mi
Family Practice
NPI 1811208820
8600 N KENTUCKY AVE
Evansville, IN 47725
(812) 426-9565
✔ PECOS✔ Accepts Medicare4.6 mi
Family Practice
NPI 1962104745
4506 1ST AVE
Evansville, IN 47710
(812) 428-6161
✔ PECOS✔ Accepts Medicare7.1 mi
Nurse Practitioner
NPI 1619848983
4506 N 1ST AVE
Evansville, IN 47710
(812) 428-6161
✔ PECOS✔ Accepts Medicare7.1 mi
Otolaryngology
NPI 1679731665
350 W. COLUMBIA, SUITE 310
Evansville, IN 47710
(812) 425-2646
✔ PECOS✔ Accepts Medicare9.5 mi
Infectious Disease
NPI 1619938552
350 W COLUMBIA ST SUITE 440
Evansville, IN 47710
(812) 893-1749
✔ PECOS✔ Accepts Medicare9.6 mi
Qualified Audiologist
NPI 1043373319
350 W COLUMBIA ST
Evansville, IN 47710
(812) 425-2646
✔ Accepts Medicare9.6 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

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 15D0932642

Deaconess Clinic- Baseline · Evansville, IN
Active · expires Sep 28, 2027
CLIA Number15D0932642
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorShalonda Newcomb
Laboratory Phone(812) 867-8991
Laboratory LocationDeaconess Clinic- Baseline15814 Neeley Street, Evansville, IN 47725
CLIA data matches this NPI record on: Address 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 Clinic, Inc's NPI number?

The NPI number for Deaconess Clinic, Inc is 1043466329. It was assigned to this organization in the NPPES registry on August 18, 2008. The provider is doing business as Deaconess Clinic I.

Where is Deaconess Clinic, Inc located?

Deaconess Clinic, Inc is located at 15814 Neeley St, Evansville, IN 47725. The listed phone number is (812) 867-8991.

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, 6 practice at this address and 93 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Deaconess Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0932642) is associated with this NPI, valid through September 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.