DEACONESS CLINIC, INC.
NPI 1538039706
Clinic/Center - Occupational Medicine in Jasper, IN

Active since November 11, 2025CLIA 15D2069327 · Waiver
695 W 2ND ST, JASPER, IN 47546(812) 996-5750(812) 996-5763 Get Directions Write a Review

NPPES record last updated: November 13, 2025. 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 1538039706) is a healthcare organization registered as an occupational medicine in Jasper, Indiana and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through November 20, 2027 and lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1538039706
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameDEACONESS CLINIC, INC.
Location Address695 W 2ND STJasper, IN 47546-3240
Mailing Address695 W 2nd StJasper, IN 47546-3240 · (812) 996-5750 · Fax (812) 996-5763
Fax(812) 996-5763
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296
Enumeration DateNovember 11, 2025
Last NPPES UpdateNovember 13, 2025
NPPES CertifiedNovember 13, 2025
NPI 1538039706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
695 W 2ND ST, Jasper, IN 47546

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 15D2069327

Deaconess Clinic Occupational Health Jasper · Jasper, IN
Active · expires Nov 20, 2027
CLIA Number15D2069327
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorGreg Pfister
Laboratory Phone(812) 996-5750
Laboratory LocationDeaconess Clinic Occupational Health Jasper695 W 2nd St Suite 1A, Jasper, IN 47546
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Family Medicine
695 W 2ND ST, SUITE A1
JASPER, IN 47546
Nurse Practitioner (Family)
695 W 2ND ST
JASPER, IN 47546
Orthopaedic Surgery
695 W 2ND ST, SUITE A2
JASPER, IN 47546
Chiropractor
695 W 2ND ST
JASPER, IN 47546
Physician Assistant
695 W 2ND ST, SUITE A2
JASPER, IN 47546
Physical Therapy Assistant
695 W 2ND ST
JASPER, IN 47546
Nurse Practitioner (Family)
695 W 2ND ST, SUITE 1A
JASPER, IN 47546
Podiatrist (Foot & Ankle Surgery)
695 W 2ND ST
JASPER, IN 47546

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 1538039706. It was assigned to this organization in the NPPES registry on November 11, 2025.

Where is Deaconess Clinic, Inc. located?

Deaconess Clinic, Inc. is located at 695 W 2nd St, Jasper, IN 47546. The listed phone number is (812) 996-5750.

What is Deaconess Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Does Deaconess Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2069327) is associated with this NPI, valid through November 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Deaconess Clinic, Inc. was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.