DEACONESS CLINIC, INC
NPI 1346869252
Family Medicine in Henderson, KY

Active since April 10, 2020CLIA 18D2045413 · Waiver
411 LETCHER ST, HENDERSON, KY 42420(270) 831-7950(270) 831-7824 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Deaconess Clinic, Inc NPPES

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

DEACONESS CLINIC, INC (NPI 1346869252), doing business as Deaconess Clinic - Letcher, is a healthcare organization registered as a family medicine in Henderson, Kentucky and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through August 11, 2028 and lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1346869252
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS CLINIC, INC
Location Address411 LETCHER STHenderson, KY 42420-4245
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 450-6815 · Fax (812) 450-6822
Fax(270) 831-7824
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296
Enumeration DateApril 10, 2020
NPPES CertifiedApril 10, 2020
✔ NPI 1346869252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
411 LETCHER ST, Henderson, KY 42420

Other Names 1

Doing Business AsDeaconess Clinic - Letcher

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, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

174

Medicare enrollment records show 174 clinicians reassign Medicare billing to Deaconess Clinic, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 54 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Nurse Practitioner102
Family Practice28
Internal Medicine7
Gastroenterology6
Pediatric Medicine6
Infectious Disease4
Nephrology4
Urology4
8 other specialties13

Nearest to this location (20)

See all 174
Nurse Practitioner
NPI 1699335968
411 LETCHER ST
Henderson, KY 42420
(270) 831-7950
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255437463
471 KLUTEY PARK PLAZA DR
Henderson, KY 42420
(270) 830-6100
✔ PECOS✔ Accepts Medicare1.0 mi
Family Practice
NPI 1508351685
471 KLUTEY PARK PLAZA DR
Henderson, KY 42420
(270) 830-6100
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1538764451
230 N GREEN ST
Henderson, KY 42420
(270) 854-3196
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1811637358
230 N GREEN ST
Henderson, KY 42420
(270) 854-3196
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1033577812
110 3RD ST SUITE 180
Henderson, KY 42420
(270) 827-3573
✔ PECOS1.3 mi
Pediatric Medicine
NPI 1821155532
110 3RD ST SUITE 180
Henderson, KY 42420
(270) 827-3573
✔ PECOS1.3 mi
Family Practice
NPI 1679751689
110 3RD ST SUITE 250
Henderson, KY 42420
(270) 826-3440
✔ PECOS✔ Accepts Medicare1.3 mi
Family Practice
NPI 1326002023
110 3RD ST STE 250
Henderson, KY 42420
(270) 826-0135
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1932389590
110 3RD ST SUITE 180
Henderson, KY 42420
(270) 827-3573
✔ PECOS1.3 mi
Podiatry
NPI 1679198436
736 N ELM ST
Henderson, KY 42420
(270) 827-7199
✔ PECOS✔ Accepts Medicare1.5 mi
Family Practice
NPI 1265490114
319 8TH ST SUITE 1
Henderson, KY 42420
(270) 827-5657
✔ PECOS✔ Accepts Medicare1.5 mi
Gastroenterology
NPI 1639584014
1305 N ELM ST STE G
Henderson, KY 42420
(812) 426-9545
✔ PECOS✔ Accepts Medicare2.0 mi
Internal Medicine
NPI 1700142106
1300 MERRITT DR
Henderson, KY 42420
(270) 827-0064
✔ PECOS✔ Accepts Medicare2.0 mi
Internal Medicine
NPI 1497984074
1300 MERRITT DR
Henderson, KY 42420
(812) 450-8600
✔ PECOS✔ Accepts Medicare2.0 mi
Pediatric Medicine
NPI 1699822569
1300 MERRITT DR STE 100
Henderson, KY 42420
(270) 827-0064
✔ PECOS2.1 mi
Internal Medicine
NPI 1417905332
1300 MERRITT DR STE 100
Henderson, KY 42420
(270) 827-0064
✔ PECOS✔ Accepts Medicare2.1 mi
Pediatric Medicine
NPI 1366821746
2000 N ELM ST
Henderson, KY 42420
(270) 827-3573
✔ PECOS2.8 mi
Pediatric Medicine
NPI 1205287000
2000 N ELM ST
Henderson, KY 42420
(270) 827-3573
✔ PECOS2.8 mi
Gastroenterology
NPI 1518185487
340 STARLITE DR
Henderson, KY 42420
(270) 844-8027
✔ PECOS✔ Accepts Medicare2.9 mi
See all 174 clinicians

Source: 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 18D2045413

Deaconess Clinic Letcher · Henderson, KY
Active · expires Aug 11, 2028
CLIA Number18D2045413
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2026
Certificate Expiration DateAugust 11, 2028
Laboratory DirectorMr. Logan Vansickle
Laboratory Phone(270) 831-7950
Laboratory LocationDeaconess Clinic Letcher411 Letcher Street, Henderson, KY 42420
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1346869252. It was assigned to this organization in the NPPES registry on April 10, 2020. The provider is doing business as Deaconess Clinic - Letcher.

Where is Deaconess Clinic, Inc located?

Deaconess Clinic, Inc is located at 411 Letcher St, Henderson, KY 42420. The listed phone number is (270) 831-7950.

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), 174 clinicians in 16 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 (102), Family Practice (28) and Internal Medicine (7). Of these, 1 practice at this address and 54 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Deaconess Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2045413) is associated with this NPI, valid through August 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deaconess Clinic, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and 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 April 10, 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.