DEACONESS CLINIC, INC.
NPI 1083472369
Pediatrics in Evansville, IN

Active since March 11, 2024CLIA 15D2307337 · Microscopy
801 FELSTEAD RD STE 100, EVANSVILLE, IN 47712(812) 426-9480(812) 426-9591 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Deaconess Clinic, Inc. NPPES

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

DEACONESS CLINIC, INC. (NPI 1083472369), doing business as Deaconess Clinic - Felstead, is a healthcare organization registered as a pediatrics in Evansville, Indiana and active in the NPI registry since March 2024. The organization holds a CLIA Microscopy certificate valid through July 7, 2028 and lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1083472369
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDEACONESS CLINIC, INC.
Location Address801 FELSTEAD RD STE 100Evansville, IN 47712-3638
Mailing AddressPo Box 3366Evansville, IN 47732-3366 · (812) 450-6815 · Fax (812) 450-6822
Fax(812) 426-9591
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296
Enumeration DateMarch 11, 2024
Last NPPES UpdateMarch 20, 2025
NPPES CertifiedMarch 20, 2025
✔ NPI 1083472369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedFamily MedicineTaxonomy 207Q00000X
801 FELSTEAD RD STE 100, Evansville, IN 47712

Other Names 1

Doing Business AsDeaconess Clinic - Felstead

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, Inc. 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, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 177 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
Family Practice
NPI 1407205958
801 FELSTEAD RD
Evansville, IN 47712
(812) 490-3880
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316770837
801 FELSTEAD RD
Evansville, IN 47712
(812) 490-3880
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1467021170
801 FELSTEAD RD
Evansville, IN 47712
(812) 490-3880
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013200930
8600 UNIVERSITY BLVD RM HP0091
Evansville, IN 47712
(812) 465-1250
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1295135473
8600 UNIVERSITY BLVD RM HP0091
Evansville, IN 47712
(812) 450-6815
✔ PECOS0.4 mi
Internal Medicine
NPI 1407186687
545 S BOEHNE CAMP RD
Evansville, IN 47712
(812) 429-1818
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1538455027
545 S BOEHNE CAMP RD
Evansville, IN 47712
(812) 429-1818
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1679641161
545 S BOEHNE CAMP RD
Evansville, IN 47712
(812) 429-1818
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1639550858
545 S BOEHNE CAMP RD
Evansville, IN 47712
(812) 429-1818
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1467403584
545 S BOEHNE CAMP RD
Evansville, IN 47712
(812) 402-1264
✔ PECOS✔ Accepts Medicare0.8 mi
Pediatric Medicine
NPI 1669549101
545 S BOEHNE CAMP RD
Evansville, IN 47712
(812) 429-1818
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1053084731
545 S BOEHNE CAMP RD
Evansville, IN 47712
(812) 429-1818
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1477815819
545 S BOEHNE CAMP RD
Evansville, IN 47712
(812) 429-1818
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1659833093
545 S BOEHNE CAMP RD
Evansville, IN 47712
(812) 402-1264
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1770211179
309 N FIRST AVE
Evansville, IN 47710
(812) 450-4066
✔ PECOS4.8 mi
Family Practice
NPI 1588281877
120 SE 4TH ST
Evansville, IN 47708
(812) 450-4400
✔ PECOS✔ Accepts Medicare5.0 mi
Dermatology
NPI 1053549139
120 SE 4TH ST
Evansville, IN 47708
(812) 426-9355
✔ PECOS✔ Accepts Medicare5.0 mi
Clinical Psychologist
NPI 1023694379
120 SE 4TH ST
Evansville, IN 47708
(812) 426-9862
✔ PECOS✔ Accepts Medicare5.0 mi
Infectious Disease
NPI 1205065737
520 MARY ST STE 230
Evansville, IN 47710
(812) 450-8600
✔ PECOS✔ Accepts Medicare5.0 mi
Hospice/Palliative Care
NPI 1568401503
520 MARY ST STE 340
Evansville, IN 47710
(812) 450-3201
✔ PECOS✔ Accepts Medicare5.0 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 for Provider-Performed Microscopy Procedures (PPMP) 15D2307337

Deaconess Clinic Felstead · Evansville, IN
Active · expires Jul 7, 2028
CLIA Number15D2307337
Laboratory TypePhysician Office
Certificate Effective DateJuly 8, 2026
Certificate Expiration DateJuly 7, 2028
Laboratory DirectorShely Fehrenbacher
Laboratory Phone(812) 490-3880
Laboratory LocationDeaconess Clinic Felstead801 Felstead Rd, Evansville, IN 47712
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 1083472369. It was assigned to this organization in the NPPES registry on March 11, 2024. The provider is doing business as Deaconess Clinic - Felstead.

Where is Deaconess Clinic, Inc. located?

Deaconess Clinic, Inc. is located at 801 Felstead Rd Ste 100, Evansville, IN 47712. The listed phone number is (812) 426-9480.

What is Deaconess Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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, 3 practice at this address and 177 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 for Provider-Performed Microscopy Procedures (PPMP) (number 15D2307337) is associated with this NPI, valid through July 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deaconess Clinic, Inc. accept?

Health plans from 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 March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.