DEACONESS CLINIC I
NPI 1306092689
Family Medicine in Newburgh, IN

Active since August 18, 2008
4015 GATEWAY BLVD, NEWBURGH, IN 47630(812) 858-9400(812) 858-9571 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2020, Sep 20, 2017, Aug 10, 2017 (3 updates tracked since 2017).

About Deaconess Clinic I NPPES

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

DEACONESS CLINIC I (NPI 1306092689) is a healthcare organization registered as a family medicine in Newburgh, Indiana and active in the NPI registry since August 2008. The organization lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1306092689
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS CLINIC, INC
Location Address4015 GATEWAY BLVDNewburgh, IN 47630-8925
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 858-9400 · Fax (812) 858-9571
Fax(812) 858-9571
Organization SubpartNo
Authorized OfficialCheryl A WathenCfo · (812) 450-3296
Enumeration DateAugust 18, 2008
Last NPPES UpdateSeptember 16, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2020
✔ NPI 1306092689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ 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 ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X
Also ListedAudiologistTaxonomy 231H00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4015 GATEWAY BLVD, Newburgh, IN 47630

Other Names 1

Doing Business AsDeaconess Clinic I

Other Identifiers 1

Medicaid200910700AIN

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 I 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 I, which bills Medicare for the services they deliver. Of these, 27 practice at this address and 262 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
Internal Medicine
NPI 1336142728
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-6244
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427542083
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-9400
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1548798523
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 425-2646
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1538899224
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-6244
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1619971942
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-6244
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1487184156
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-9400
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1750582037
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-9400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073110649
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 426-9545
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1538103759
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-9400
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1871023556
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-9400
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1326452889
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-9400
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1770088767
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-9400
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1962841684
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-6244
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1841809696
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-6244
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306590393
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 426-9545
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1700880036
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-9400
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1184173999
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 425-2646
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1306098538
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 425-2646
✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1942260138
4011 GATEWAY BLVD
Newburgh, IN 47630
(812) 842-3880
✔ PECOSSame address
Pediatric Medicine
NPI 1194703959
4011 GATEWAY BLVD
Newburgh, IN 47630
(812) 450-6815
✔ PECOSSame address
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.

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 1306092689. It was assigned to this organization in the NPPES registry on August 18, 2008. The provider is doing business as Deaconess Clinic I.

Where is Deaconess Clinic, Inc located?

Deaconess Clinic, Inc is located at 4015 Gateway Blvd, Newburgh, IN 47630. The listed phone number is (812) 858-9400.

What is Deaconess Clinic, Inc's specialty?

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

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, 27 practice at this address and 262 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 Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and 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 September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.