DEACONESS MEMORIAL MEDICAL CENTER INC
NPI 1417499674
Family Medicine in Jasper, IN
About Deaconess Memorial Medical Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEACONESS MEMORIAL MEDICAL CENTER INC (NPI 1417499674), doing business as Memorial Health St. Charles, is a healthcare organization registered as a family medicine in Jasper, Indiana and active in the NPI registry since November 2016. The organization lists Keith Miller, Cao & Indiana Region President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Memorial Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
171Medicare enrollment records show 171 clinicians reassign Medicare billing to Deaconess Memorial Medical Center Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 68 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 26
Nearest to this location (20)
See all 171Source: 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 Memorial Medical Center Inc's NPI number?
The NPI number for Deaconess Memorial Medical Center Inc is 1417499674. It was assigned to this organization in the NPPES registry on November 4, 2016. The provider is doing business as Memorial Health St. Charles.
Where is Deaconess Memorial Medical Center Inc located?
Deaconess Memorial Medical Center Inc is located at 1950 Saint Charles St Suite 5, Jasper, IN 47546. The listed phone number is (812) 996-6050.
What is Deaconess Memorial Medical Center Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Deaconess Memorial Medical Center Inc enrolled in Medicare?
Yes. Deaconess Memorial Medical Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deaconess Memorial Medical Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 171 clinicians in 26 Medicare specialties reassign their Medicare billing to Deaconess Memorial Medical Center 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 (53), Family Practice (20) and Emergency Medicine (16). Of these, 5 practice at this address and 68 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Deaconess Memorial Medical Center Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Deaconess Memorial Medical Center 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 Memorial Medical Center Inc was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Deaconess Memorial Medical Center Inc · NPI 1417499674
Family Medicine organization in Jasper, Indiana. Organization record, active in the CMS NPPES registry since November 4, 2016.
## Identity
- **NPI:** 1417499674 (Entity type: Organization)
- **Enumerated:** November 4, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Memorial Health St. Charles (Doing Business As)
- **Organization subpart:** Yes (part of Deaconess Memorial Medical Center Inc)
- **Authorized official:** Keith Miller, CAO & INDIANA REGION PRESIDENT
## Practice location
- **Address:** 1950 SAINT CHARLES ST, SUITE 5, Jasper, IN 47546-9172
- **Phone:** (812) 996-6050 · **Fax:** (812) 996-6051
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 171 clinicians in 26 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (53), Family Practice (20), Emergency Medicine (16); 5 practice at this address and 68 within 10 miles; [full list](https://npiprofile.com/npi/1417499674/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417499674) · Data from the CMS NPPES public registry.