DEACONESS HOSPITAL, INC
NPI 1457597197
Surgery in Evansville, IN

Active since December 31, 2008CLIA 15D2267786 · Waiver
350 W COLUMBIA ST, STE 350, EVANSVILLE, IN 47710(812) 450-7700(812) 450-7705 Get Directions Write a Review

NPPES record last updated: November 14, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2017, Jul 6, 2017 (2 updates tracked since 2017).

About Deaconess Hospital, Inc NPPES

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

DEACONESS HOSPITAL, INC (NPI 1457597197) is a healthcare organization registered as a surgery in Evansville, Indiana and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through August 30, 2028 and lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1457597197
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameDEACONESS HOSPITAL, INC
Location Address350 W COLUMBIA ST, STE 350Evansville, IN 47710-5610
Mailing AddressPo Box 3407Evansville, IN 47733-3407 · (812) 450-7700 · Fax (812) 450-7705
Fax(812) 450-7705
Organization SubpartNo
Authorized OfficialCheryl A WathenCfo · (812) 450-3296
Enumeration DateDecember 31, 2008
Last NPPES UpdateNovember 14, 20172 updates tracked since enumeration
✔ NPI 1457597197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedClinical Nurse SpecialistTaxonomy 364S00000X
350 W COLUMBIA ST, Evansville, IN 47710

Other Identifiers 1

Medicare PIN636570IN

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20040115000129Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

713

Medicare enrollment records show 713 clinicians reassign Medicare billing to Deaconess Hospital, Inc, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 329 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 31

Certified Registered Nurse Anesthetist (CRNA)159
Nurse Practitioner114
Hospitalist104
Emergency Medicine48
Internal Medicine46
Anesthesiology42
Family Practice29
Pulmonary Disease29
23 other specialties142

Nearest to this location (20)

See all 713
Interventional Cardiology
NPI 1417396094
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(812) 464-9133
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1578978557
350 W COLUMBIA ST STE 350
Evansville, IN 47710
(812) 450-7700
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1679586705
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(812) 464-9133
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1508396961
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(646) 785-1084
✔ PECOS✔ Accepts MedicareSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1235653908
350 W COLUMBIA ST STE 350
Evansville, IN 47710
(812) 450-7700
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1720345929
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(812) 450-8600
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1427116631
350 W COLUMBIA ST STE 350
Evansville, IN 47710
(812) 450-7700
✔ PECOSSame address
Nurse Practitioner
NPI 1316492416
350 W COLUMBIA ST STE 420
Evansville, IN 47710
(812) 450-7720
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457987877
350 W COLUMBIA ST
Evansville, IN 47710
(812) 450-3852
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1386949527
415 W COLUMBIA ST
Evansville, IN 47710
(812) 450-3363
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1316900442
415 W COLUMBIA ST
Evansville, IN 47710
(812) 464-0521
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1720312028
415 W COLUMBIA ST STE 110
Evansville, IN 47710
(812) 450-3363
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1699405597
415 W COLUMBIA ST
Evansville, IN 47710
(812) 450-6066
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1265728265
415 W COLUMBIA ST STE 110
Evansville, IN 47710
(812) 450-3363
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1134462070
415 W COLUMBIA ST STE 110
Evansville, IN 47710
(812) 450-3363
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1942376116
611 HARRIET ST STE 504
Evansville, IN 47710
(812) 450-7720
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1376982371
600 MARY ST
Evansville, IN 47710
(812) 450-7338
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093250086
600 MARY STREET
Evansville, IN 47747
(812) 450-2240
✔ Accepts Medicare0.1 mi
Neurology
NPI 1942620026
600 MARY STREET
Evansville, IN 47747
(812) 842-3082
✔ PECOS✔ Accepts Medicare0.1 mi
Anesthesiology
NPI 1497733257
600 MARY ST
Evansville, IN 47747
(812) 450-2240
✔ PECOS✔ Accepts Medicare0.1 mi
See all 713 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 15D2267786

Deaconess Hospital Wound Care Columbia · Evansville, IN
Active · expires Aug 30, 2028
CLIA Number15D2267786
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2026
Certificate Expiration DateAugust 30, 2028
Laboratory DirectorAmanda Miley
Laboratory Phone(812) 450-7700
Laboratory LocationDeaconess Hospital Wound Care Columbia350 W Columbia St Suite 350, Evansville, IN 47710
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 Hospital, Inc's NPI number?

The NPI number for Deaconess Hospital, Inc is 1457597197. It was assigned to this organization in the NPPES registry on December 31, 2008.

Where is Deaconess Hospital, Inc located?

Deaconess Hospital, Inc is located at 350 W Columbia St Ste 350, Evansville, IN 47710. The listed phone number is (812) 450-7700.

What is Deaconess Hospital, Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Deaconess Hospital, Inc enrolled in Medicare?

Yes. Deaconess Hospital, Inc is registered in the Medicare PECOS enrollment system.

When is Deaconess Hospital, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Deaconess Hospital, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 713 clinicians in 31 Medicare specialties reassign their Medicare billing to Deaconess Hospital, 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 Certified Registered Nurse Anesthetist (CRNA) (159), Nurse Practitioner (114) and Hospitalist (104). Of these, 9 practice at this address and 329 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Deaconess Hospital, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2267786) is associated with this NPI, valid through August 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deaconess Hospital, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Deaconess Hospital, 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 Hospital, Inc was last updated on November 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.