DEACONESS PAIN CLINIC MOB5
NPI 1174007132
Pain Medicine - Pain Medicine in Newburgh, IN
About Deaconess Pain Clinic Mob5 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEACONESS PAIN CLINIC MOB5 (NPI 1174007132) is a healthcare organization registered as a pain medicine in Newburgh, Indiana and active in the NPI registry since September 2018. The organization lists Cheryl Annette Wathen, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deaconess Pain Clinic Mob5 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
713Medicare enrollment records show 713 clinicians reassign Medicare billing to Deaconess Pain Clinic Mob5, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 326 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 31
Nearest to this location (20)
See all 713Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Hospital, Inc's NPI number?
The NPI number for Deaconess Hospital, Inc is 1174007132. It was assigned to this organization in the NPPES registry on September 17, 2018. The provider is doing business as Deaconess Pain Clinic Mob5.
Where is Deaconess Hospital, Inc located?
Deaconess Hospital, Inc is located at 4133 Gateway Blvd Ste 290, Newburgh, IN 47630. The listed phone number is (812) 450-7246.
What is Deaconess Hospital, Inc's specialty?
The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.
Is Deaconess Hospital, Inc enrolled in Medicare?
Yes. Deaconess Hospital, Inc is registered in the Medicare PECOS enrollment system.
When is Deaconess Hospital, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Deaconess Hospital, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 713 clinicians in 31 Medicare specialties reassign their Medicare billing to Deaconess Hospital, 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 Certified Registered Nurse Anesthetist (CRNA) (159), Nurse Practitioner (114) and Hospitalist (104). Of these, 1 practice at this address and 326 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Deaconess Hospital, Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Deaconess Hospital, 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 Hospital, Inc was last updated on July 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Deaconess Pain Clinic Mob5 · NPI 1174007132
Pain Medicine organization in Newburgh, Indiana. Organization record, active in the CMS NPPES registry since September 17, 2018.
## Identity
- **NPI:** 1174007132 (Entity type: Organization)
- **Enumerated:** September 17, 2018
- **Primary specialty:** Pain Medicine - Pain Medicine · taxonomy 208VP0000X
- **Legal business name:** Deaconess Hospital, Inc
- **Organization subpart:** No
- **Authorized official:** Cheryl Wathen, CFO
## Practice location
- **Address:** 4133 GATEWAY BLVD STE 290, Newburgh, IN 47630-7918
- **Phone:** (812) 450-7246 · **Fax:** (812) 450-4855
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 713 clinicians in 31 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (159), Nurse Practitioner (114), Hospitalist (104); 1 practice at this address and 326 within 10 miles; [full list](https://npiprofile.com/npi/1174007132/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1174007132) · Data from the CMS NPPES public registry.