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DEACONESS CLINIC I
NPI 1093000283
Family Medicine in Evansville, IN

Active since June 15, 2011CLIA 15D0965649 · Waiver
8600 UNIVERSITY BLVD, ROOM HP0091, EVANSVILLE, IN 47712(812) 465-1250(812) 465-7170 Get Directions Write a Review

NPPES record last updated: August 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deaconess Clinic I NPPES

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

DEACONESS CLINIC I (NPI 1093000283) is a healthcare organization registered as a family medicine in Evansville, Indiana and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1093000283
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS CLINIC INC
Location Address8600 UNIVERSITY BLVD, ROOM HP0091Evansville, IN 47712-3534
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 465-1250 · Fax (812) 465-7170
Phone(812) 465-1250
Fax(812) 465-7170
Organization SubpartNo
Authorized OfficialCheryl A WathenCfo · (812) 450-3296
Enumeration DateJune 15, 2011
Last NPPES UpdateAugust 10, 2017
✔ NPI 1093000283 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 ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
8600 UNIVERSITY BLVD, Evansville, IN 47712
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Other Names 1

Doing Business AsDeaconess Clinic I

Other Identifiers 1

Medicare PIN257900IN

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 Anthem Blue Cross and Blue Shield.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 15D0965649

Deaconess Clinic, Inc · Evansville, IN
Active · expires Apr 19, 2027
CLIA Number15D0965649
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorDr. Brent Thomason
Laboratory Phone(812) 465-1250
Laboratory LocationDeaconess Clinic, Inc8600 University Blvd Fc363, Evansville, IN 47712
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

WARD E HARBIN DO
Family Medicine
8600 UNIVERSITY BLVD, RM HP0091
EVANSVILLE, IN 47712
Vanderburgh County (812) 465-1250
ANGELA K WOOTON N.P.
Nurse Practitioner
8600 UNIVERSITY BLVD, RM HP0091
EVANSVILLE, IN 47712
Vanderburgh County (812) 465-1250
LAURA HELINE MAT, ATC
Specialist/Technologist (Athletic Trainer)
8600 UNIVERSITY BLVD, ATHLETIC TRAINING
EVANSVILLE, IN 47712
Vanderburgh County (812) 464-1955
DEACONESS HOSPITAL, INC
Family Medicine
8600 UNIVERSITY BLVD, RM HP0091
EVANSVILLE, IN 47712
Vanderburgh County (812) 465-1250
KELSEY MIRANDA EMIG ATC, LAT
Specialist/Technologist (Athletic Trainer)
8600 UNIVERSITY BLVD
EVANSVILLE, IN 47712
Vanderburgh County (812) 465-1955
BIANCA BECKER ATC
Specialist/Technologist (Athletic Trainer)
8600 UNIVERSITY BLVD
EVANSVILLE, IN 47712
Vanderburgh County (419) 283-8432
GLENDA CUNNINGHAM APRN
Nurse Practitioner (Family)
8600 UNIVERSITY BLVD
EVANSVILLE, IN 47712
Vanderburgh County (812) 464-8600
RAQUEL WILLIAMS MATTINGLY
Nurse Practitioner (Family)
8600 UNIVERSITY BLVD
EVANSVILLE, IN 47712
Vanderburgh County (270) 789-8518

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 1093000283. It was assigned to this organization in the NPPES registry on June 15, 2011. The provider is doing business as Deaconess Clinic I.

Where is Deaconess Clinic Inc located?

Deaconess Clinic Inc is located at 8600 University Blvd Room Hp0091, Evansville, IN 47712. The listed phone number is (812) 465-1250.

What is Deaconess Clinic Inc's specialty?

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

Does Deaconess Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0965649) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deaconess Clinic Inc accept?

Health plans from 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 August 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.