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DEACONESS CLINIC, INC
NPI 1376267799
Nurse Practitioner in Mount Vernon, IN

Active since September 29, 2022CLIA 15D0713263 · Waiver
813 E 4TH ST, MOUNT VERNON, IN 47620(812) 450-2772 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deaconess Clinic, Inc NPPES

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

DEACONESS CLINIC, INC (NPI 1376267799) is a healthcare organization registered as a nurse practitioner in Mount Vernon, Indiana and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through November 22, 2027 and lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1376267799
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameDEACONESS CLINIC, INC
Location Address813 E 4TH STMount Vernon, IN 47620-2012
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 450-2772
Phone(812) 450-2772
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296
Enumeration DateSeptember 29, 2022
NPPES CertifiedSeptember 27, 2022
✔ NPI 1376267799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
813 E 4TH ST, Mount Vernon, IN 47620
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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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 15D0713263

Deaconess Clinic At Work Mt Vernon · Mount Vernon, IN
Active · expires Nov 22, 2027
CLIA Number15D0713263
Laboratory TypePhysician Office
Certificate Effective DateNovember 23, 2025
Certificate Expiration DateNovember 22, 2027
Laboratory DirectorDr. Jon S. Uloth
Laboratory Phone(812) 490-0813
Laboratory LocationDeaconess Clinic At Work Mt Vernon813 E 4th St Suite A, Mount Vernon, IN 47620
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOANNA OSTERMAN
Nurse Practitioner
813 E 4TH ST
MOUNT VERNON, IN 47620
Posey County (812) 450-1325
KIMBERLY ANN JACKSON N.P.
Nurse Practitioner
813 E 4TH ST, STE A
MOUNT VERNON, IN 47620
Posey County (812) 838-2139
DR. WILLIAM E SUTTON M.D.
Family Medicine
813 E 4TH ST, SUITE A
MOUNT VERNON, IN 47620
Posey County (812) 838-2139

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 1376267799. It was assigned to this organization in the NPPES registry on September 29, 2022.

Where is Deaconess Clinic, Inc located?

Deaconess Clinic, Inc is located at 813 E 4th St, Mount Vernon, IN 47620. The listed phone number is (812) 450-2772.

What is Deaconess Clinic, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Deaconess Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0713263) is associated with this NPI, valid through November 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.