DEACONESS MEMORIAL MEDICAL CENTER INC
NPI 1518076397
Family Medicine in Jasper, IN

Active since August 29, 2006
1025 1ST AVE W, JASPER, IN 47546(812) 996-8460(812) 996-8465 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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 1518076397), doing business as Memorial Hospital And Health Care Center Memorial Family Care, is a healthcare organization registered as a family medicine in Jasper, Indiana and active in the NPI registry since August 2006. The organization lists Keith Miller, Cao & Indiana Region President, as its authorized official.

NPPES Registry Identity

NPI1518076397
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS MEMORIAL MEDICAL CENTER INC
Location Address1025 1ST AVE WJasper, IN 47546-3217
Mailing Address800 W 9th StJasper, IN 47546-2514
Fax(812) 996-8465
Organization SubpartYes
Authorized OfficialKeith MillerCao & Indiana Region President · (812) 996-0507
Enumeration DateAugust 29, 2006
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1518076397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1025 1ST AVE W, Jasper, IN 47546

Other Names 1

Doing Business AsMemorial Hospital And Health Care Center Memorial Family Care

Other Identifiers 2

OtherCB3118IN · Railroad Medicare
Medicaid200048850GIN

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

Clinicians Billing Medicare Through This Organization

171

Medicare enrollment records show 171 clinicians reassign Medicare billing to Deaconess Memorial Medical Center Inc, which bills Medicare for the services they deliver. Of these, 68 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Nurse Practitioner53
Family Practice20
Emergency Medicine16
Diagnostic Radiology12
Hospitalist12
Internal Medicine9
Psychiatry7
Cardiovascular Disease (Cardiology)5
18 other specialties37

Nearest to this location (20)

See all 171
Nurse Practitioner
NPI 1902205792
695 W 2ND ST SUITE 1A
Jasper, IN 47546
(812) 996-3550
✔ PECOS✔ Accepts Medicare0.4 mi
Orthopedic Surgery
NPI 1306266093
695 W 2ND ST STE 2A
Jasper, IN 47546
(812) 996-5950
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1073674396
695 W 2ND ST
Jasper, IN 47546
(812) 996-5750
✔ PECOS0.4 mi
Podiatry
NPI 1407416472
645 W 5TH ST
Jasper, IN 47546
(812) 634-2778
✔ PECOS✔ Accepts Medicare0.5 mi
Podiatry
NPI 1508157280
645 W 5TH ST
Jasper, IN 47546
(812) 634-2778
✔ PECOS✔ Accepts Medicare0.5 mi
Cardiovascular Disease (Cardiology)
NPI 1588638993
440 SCOTT ROLEN DR
Jasper, IN 47546
(812) 482-5656
✔ PECOS✔ Accepts Medicare0.6 mi
Cardiovascular Disease (Cardiology)
NPI 1407903396
440 SCOTT ROLEN DR
Jasper, IN 47546
(812) 482-5656
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1124657747
751 W 9TH ST
Jasper, IN 47546
(812) 996-7474
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1275276560
751 W 9TH ST
Jasper, IN 47546
(812) 996-7474
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1386618007
1005 DORBETT ST
Jasper, IN 47546
(812) 482-5700
✔ PECOS✔ Accepts Medicare0.7 mi
Emergency Medicine
NPI 1710392667
800 W 9TH ST
Jasper, IN 47546
(812) 996-0323
✔ PECOS✔ Accepts Medicare0.7 mi
Emergency Medicine
NPI 1225192362
800 W 9TH ST
Jasper, IN 47546
(812) 996-0323
✔ PECOS✔ Accepts Medicare0.7 mi
Hospitalist
NPI 1932231388
800 W 9TH ST
Jasper, IN 47546
(812) 481-0188
✔ PECOS✔ Accepts Medicare0.7 mi
Hospitalist
NPI 1255642419
800 W 9TH ST
Jasper, IN 47546
(812) 996-8584
✔ PECOS✔ Accepts Medicare0.7 mi
Pediatric Medicine
NPI 1790245926
800 W 9TH ST
Jasper, IN 47546
(812) 996-7918
✔ PECOS0.7 mi
Clinical Social Worker
NPI 1295287886
800 W 9TH ST
Jasper, IN 47546
(812) 996-2345
✔ PECOS✔ Accepts Medicare0.7 mi
Anesthesiology
NPI 1568626919
800 W 9TH ST
Jasper, IN 47546
(812) 996-2345
✔ PECOS✔ Accepts Medicare0.7 mi
Diagnostic Radiology
NPI 1619060290
800 W 9TH ST
Jasper, IN 47546
(812) 482-0524
✔ PECOS✔ Accepts Medicare0.7 mi
Pulmonary Disease
NPI 1194915298
721 W 13TH ST SUITE 221
Jasper, IN 47546
(812) 482-0564
✔ PECOS✔ Accepts Medicare0.8 mi
Otolaryngology
NPI 1720425192
721 W 13TH ST STE 325
Jasper, IN 47546
(812) 996-5575
✔ PECOS✔ Accepts Medicare0.8 mi
See all 171 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 Memorial Medical Center Inc's NPI number?

The NPI number for Deaconess Memorial Medical Center Inc is 1518076397. It was assigned to this organization in the NPPES registry on August 29, 2006. The provider is doing business as Memorial Hospital and Health Care Center Memorial Family Care.

Where is Deaconess Memorial Medical Center Inc located?

Deaconess Memorial Medical Center Inc is located at 1025 1st Ave W, Jasper, IN 47546. The listed phone number is (812) 996-8460.

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, 68 practice 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 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.