DEACONESS SPECIALTY PHYSICIANS INC
NPI 1407647985
Internal Medicine - Nephrology in Jasper, IN

Active since May 14, 2025
721 W 13TH ST, JASPER, IN 47546(812) 996-7388(812) 996-5933 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Deaconess Specialty Physicians Inc NPPES

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

DEACONESS SPECIALTY PHYSICIANS INC (NPI 1407647985) is a healthcare organization registered as a nephrology in Jasper, Indiana and active in the NPI registry since May 2025. The organization lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1407647985
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameDEACONESS SPECIALTY PHYSICIANS INC
Location Address721 W 13TH STJasper, IN 47546-1855
Mailing AddressPo Box 632111Cincinnati, OH 45263-2111 · (812) 450-6879 · Fax (812) 858-4586
Fax(812) 996-5933
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296
Enumeration DateMay 14, 2025
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1407647985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
721 W 13TH ST, Jasper, IN 47546

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

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

Clinicians Billing Medicare Through This Organization

264

Medicare enrollment records show 264 clinicians reassign Medicare billing to Deaconess Specialty Physicians Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 36 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 31

Nurse Practitioner76
Cardiovascular Disease (Cardiology)27
Family Practice25
Interventional Cardiology13
Hematology/Oncology12
Internal Medicine11
Orthopedic Surgery11
Cardiac Electrophysiology10
23 other specialties79

Nearest to this location (20)

See all 264
Nurse Practitioner
NPI 1861966533
721 W 13TH ST STE 221
Jasper, IN 47546
(812) 996-0564
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255888475
721 W 13TH ST STE 121
Jasper, IN 47546
(812) 996-5780
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1194915298
721 W 13TH ST SUITE 221
Jasper, IN 47546
(812) 482-0564
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1154767101
721 W 13TH ST STE 121
Jasper, IN 47546
(812) 996-5780
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1720425192
721 W 13TH ST STE 325
Jasper, IN 47546
(812) 996-5575
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1366553786
721 W 13TH ST STE 121
Jasper, IN 47546
(812) 996-5780
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275311276
800 W 9TH ST
Jasper, IN 47546
(812) 996-0437
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1447735253
800 W 9TH ST
Jasper, IN 47546
(812) 996-0626
✔ PECOS✔ Accepts Medicare0.1 mi
Hematology/Oncology
NPI 1053350140
800 W 9TH ST
Jasper, IN 47546
(812) 996-0626
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1114510203
800 W 9TH ST
Jasper, IN 47546
(812) 996-0437
✔ PECOS0.1 mi
Orthopedic Surgery
NPI 1851557235
709 W 9TH ST
Jasper, IN 47546
(812) 996-6500
✔ PECOS✔ Accepts Medicare0.2 mi
Podiatry
NPI 1508157280
645 W 5TH ST
Jasper, IN 47546
(812) 634-2778
✔ PECOS✔ Accepts Medicare0.4 mi
Podiatry
NPI 1528040714
645 W 5TH ST
Jasper, IN 47546
(812) 634-2778
✔ PECOS✔ Accepts Medicare0.4 mi
Cardiovascular Disease (Cardiology)
NPI 1588638993
440 SCOTT ROLEN DR
Jasper, IN 47546
(812) 482-5656
✔ PECOS✔ Accepts Medicare0.4 mi
Cardiovascular Disease (Cardiology)
NPI 1407903396
440 SCOTT ROLEN DR
Jasper, IN 47546
(812) 482-5656
✔ PECOS✔ Accepts Medicare0.4 mi
Orthopedic Surgery
NPI 1306266093
695 W 2ND ST STE 2A
Jasper, IN 47546
(812) 996-5950
✔ PECOS✔ Accepts Medicare0.6 mi
Physical Therapist in Private Practice
NPI 1851175228
1900 SAINT CHARLES ST
Jasper, IN 47546
(812) 634-1211
✔ Accepts Medicare0.7 mi
Physical Therapist in Private Practice
NPI 1154095578
1900 SAINT CHARLES ST
Jasper, IN 47546
(812) 639-9216
✔ Accepts Medicare0.7 mi
Occupational Therapist in Private Practice
NPI 1013528959
1900 SAINT CHARLES ST
Jasper, IN 47546
(812) 482-5390
✔ Accepts Medicare0.7 mi
Family Practice
NPI 1639176563
1950 SAINT CHARLES ST SUITE 4
Jasper, IN 47546
(812) 482-9555
✔ PECOS✔ Accepts Medicare0.8 mi
See all 264 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 Specialty Physicians Inc's NPI number?

The NPI number for Deaconess Specialty Physicians Inc is 1407647985. It was assigned to this organization in the NPPES registry on May 14, 2025.

Where is Deaconess Specialty Physicians Inc located?

Deaconess Specialty Physicians Inc is located at 721 W 13th St, Jasper, IN 47546. The listed phone number is (812) 996-7388.

What is Deaconess Specialty Physicians Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Deaconess Specialty Physicians Inc enrolled in Medicare?

Yes. Deaconess Specialty Physicians Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deaconess Specialty Physicians Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 264 clinicians in 31 Medicare specialties reassign their Medicare billing to Deaconess Specialty 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 (76), Cardiovascular Disease (Cardiology) (27) and Family Practice (25). Of these, 4 practice at this address and 36 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Deaconess Specialty Physicians Inc was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.