DEACONESS SPECIALITY PHYSICIANS, INC
NPI 1306418405
Internal Medicine - Nephrology in Henderson, KY
About Deaconess Speciality Physicians, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEACONESS SPECIALITY PHYSICIANS, INC (NPI 1306418405) is a healthcare organization registered as a nephrology in Henderson, Kentucky and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Cheryl Annette 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 Speciality Physicians, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
75Medicare enrollment records show 75 clinicians reassign Medicare billing to Deaconess Speciality Physicians, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 49 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 75Source: 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 of Waiver 15D2313460
Deaconess Speciality Physicians, Inc/Ne Mob2 Gateway · Newburgh, INFrequently 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 Speciality Physicians, Inc's NPI number?
The NPI number for Deaconess Speciality Physicians, Inc is 1306418405. It was assigned to this organization in the NPPES registry on July 16, 2021.
Where is Deaconess Speciality Physicians, Inc located?
Deaconess Speciality Physicians, Inc is located at 340 Starlite Dr, Henderson, KY 42420. The listed phone number is (812) 492-5202.
What is Deaconess Speciality Physicians, Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Deaconess Speciality Physicians, Inc enrolled in Medicare?
Yes. Deaconess Speciality Physicians, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deaconess Speciality Physicians, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 75 clinicians in 17 Medicare specialties reassign their Medicare billing to Deaconess Speciality Physicians, 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 (20), Cardiovascular Disease (Cardiology) (11) and Interventional Cardiology (9). Of these, 1 practice at this address and 49 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Deaconess Speciality Physicians, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D2313460) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Deaconess Speciality Physicians, Inc accept?
Health plans from Anthem Blue Cross and Blue Shield list Deaconess Speciality Physicians, 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 Speciality Physicians, Inc was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 Speciality Physicians, Inc · NPI 1306418405
Nephrology organization in Henderson, Kentucky. Organization record, active in the CMS NPPES registry since July 16, 2021.
## Identity
- **NPI:** 1306418405 (Entity type: Organization)
- **Enumerated:** July 16, 2021
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Cheryl Wathen, CFO
## Practice location
- **Address:** 340 STARLITE DR, Henderson, KY 42420-6102
- **Phone:** (812) 492-5202 · **Fax:** (812) 450-8102
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 75 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (20), Cardiovascular Disease (Cardiology) (11), Interventional Cardiology (9); 1 practice at this address and 49 within 10 miles; [full list](https://npiprofile.com/npi/1306418405/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2021
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1306418405) · Data from the CMS NPPES public registry.