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DEACONESS CLINIC, INC.
NPI 1063211365
Allergy & Immunology in Jasper, IN

Active since March 10, 2025CLIA 15D2015465 · Waiver
251 S TRUMAN RD, JASPER, IN 47546(812) 479-3153(812) 473-8166 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Deaconess Clinic, Inc. NPPES

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

DEACONESS CLINIC, INC. (NPI 1063211365), doing business as Deaconess Clinic - Jasper Allergy, is a healthcare organization registered as an allergy & immunology in Jasper, Indiana and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through October 27, 2026 and lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1063211365
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameDEACONESS CLINIC, INC.
Location Address251 S TRUMAN RDJasper, IN 47546-9768
Mailing AddressPo Box 3366Evansville, IN 47732-3366 · (812) 450-6815 · Fax (812) 450-6822
Phone(812) 479-3153
Fax(812) 473-8166
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296
Enumeration DateMarch 10, 2025
NPPES CertifiedMarch 10, 2025
✔ NPI 1063211365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
251 S TRUMAN RD, Jasper, IN 47546
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Other Names 1

Doing Business AsDeaconess Clinic - Jasper Allergy

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 Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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 15D2015465

Deaconess Clinic Allergy East · Evansville, IN
Active · expires Oct 27, 2026
CLIA Number15D2015465
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorJason F. White
Laboratory Phone(812) 479-3153
Laboratory LocationDeaconess Clinic Allergy East6221 E Physicians Ct, Ste 1, Evansville, IN 47715
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEACONESS SPECIALTY PHYSICIANS INC
Otolaryngology
251 S TRUMAN RD
JASPER, IN 47546
Dubois County (812) 996-5575
DEACONESS MEMORIAL MEDICAL CENTER INC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
251 S TRUMAN RD
JASPER, IN 47546
Dubois County (812) 996-0521
JASON T. STUBBS PC
Otolaryngology (Facial Plastic Surgery)
251 S TRUMAN RD
JASPER, IN 47546
Dubois County (812) 634-6700
DEACONESS MEMORIAL MEDICAL CENTER INC
Otolaryngology
251 S TRUMAN RD
JASPER, IN 47546
Dubois County (812) 996-5575
ROBERT A EHRHARD MD
Otolaryngology
251 S TRUMAN RD
JASPER, IN 47546
Dubois County (812) 634-6700

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 1063211365. It was assigned to this organization in the NPPES registry on March 10, 2025. The provider is doing business as Deaconess Clinic - Jasper Allergy.

Where is Deaconess Clinic, Inc. located?

Deaconess Clinic, Inc. is located at 251 S Truman Rd, Jasper, IN 47546. The listed phone number is (812) 479-3153.

What is Deaconess Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Does Deaconess Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2015465) is associated with this NPI, valid through October 27, 2026. 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 Health of Delaware, Ambetter from Home State Health and Anthem Blue Cross and Blue Shield 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 March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.