DEACONESS CLINIC, INC.
NPI 1285039420
Nurse Practitioner in Princeton, IN
About Deaconess Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEACONESS CLINIC, INC. (NPI 1285039420) is a healthcare organization registered as a nurse practitioner in Princeton, Indiana and active in the NPI registry since October 2014. The organization lists Cheryl A Wathen, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
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
444Medicare enrollment records show 444 clinicians reassign Medicare billing to Deaconess Clinic, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 26
Nearest to this location (20)
See all 444Source: 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 Clinic, Inc.'s NPI number?
The NPI number for Deaconess Clinic, Inc. is 1285039420. It was assigned to this organization in the NPPES registry on October 30, 2014.
Where is Deaconess Clinic, Inc. located?
Deaconess Clinic, Inc. is located at 1414 W Broadway St, Princeton, IN 47670. The listed phone number is (812) 385-5283.
What is Deaconess Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
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, 1 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 Clinic, Inc. · NPI 1285039420
Nurse Practitioner organization in Princeton, Indiana. Organization record, active in the CMS NPPES registry since October 30, 2014.
## Identity
- **NPI:** 1285039420 (Entity type: Organization)
- **Enumerated:** October 30, 2014
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Cheryl Wathen, CFO
## Practice location
- **Address:** 1414 W BROADWAY ST, Princeton, IN 47670-1142
- **Phone:** (812) 385-5283 · **Fax:** (812) 385-5274
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 444 clinicians in 26 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (193), Family Practice (97), Pediatric Medicine (33); 1 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1285039420/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1285039420) · Data from the CMS NPPES public registry.