DEACONESS CLINIC I
NPI 1538566500
Family Medicine in Evansville, IN

Active since November 19, 2014CLIA 15D0994044 · Waiver
4949 HEALTHY WAY STE A, EVANSVILLE, IN 47715(812) 868-0530(812) 868-2188 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 29, 2020, Mar 25, 2020, Aug 14, 2019 and 1 more (4 updates tracked since 2017).

About Deaconess Clinic I NPPES

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

DEACONESS CLINIC I (NPI 1538566500) is a healthcare organization registered as a family medicine in Evansville, Indiana and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1538566500
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS CLINIC, INC.
Location Address4949 HEALTHY WAY STE AEvansville, IN 47715-1180
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 868-0530 · Fax (812) 868-2188
Fax(812) 868-2188
Organization SubpartNo
Authorized OfficialCheryl A WathenCfo · (812) 450-3296
Enumeration DateNovember 19, 2014
Last NPPES UpdateSeptember 29, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
✔ NPI 1538566500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
4949 HEALTHY WAY STE A, Evansville, IN 47715

Other Names 1

Doing Business AsDeaconess Clinic I

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 Clinic I is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

444

Medicare enrollment records show 444 clinicians reassign Medicare billing to Deaconess Clinic I, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 274 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Nurse Practitioner193
Family Practice97
Pediatric Medicine33
Internal Medicine21
Otolaryngology14
Gastroenterology13
Urology9
Endocrinology8
18 other specialties56

Nearest to this location (20)

See all 444
Nurse Practitioner
NPI 1144622572
4949 HEALTHY WAY STE A
Evansville, IN 47715
(812) 868-0530
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1841961802
4949 HEALTHY WAY STE A
Evansville, IN 47715
(812) 868-0530
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1114376662
4949 HEALTHY WAY STE A
Evansville, IN 47715
(812) 868-5030
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881392439
1000 S GREEN RIVER RD
Evansville, IN 47715
(812) 853-6627
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1932760477
1000 S GREEN RIVER RD
Evansville, IN 47715
(812) 853-6627
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1609303015
1000 S GREEN RIVER RD
Evansville, IN 47715
(812) 450-8751
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1740849553
1000 S GREEN RIVER RD
Evansville, IN 47715
(812) 853-6627
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1316476401
1000 S GREEN RIVER RD
Evansville, IN 47715
(812) 450-8751
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1811741044
4933 E PLAZA EAST BLVD
Evansville, IN 47715
(812) 401-8720
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1194206789
700 KIMBER LN
Evansville, IN 47715
(812) 476-7111
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1225421886
7307 E COLUMBIA ST STE 101
Evansville, IN 47715
(812) 473-1737
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1932113032
7307 E COLUMBIA ST STE 101
Evansville, IN 47715
(812) 473-1737
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1528494150
6221 PHYSICIANS CT STE 1
Evansville, IN 47715
(812) 479-3453
✔ PECOS✔ Accepts Medicare0.8 mi
Allergy/Immunology
NPI 1508974841
6221 PHYSICIANS CT SUITE 1
Evansville, IN 47715
(812) 479-3153
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1710386214
4972 LINCOLN AVE STE 101
Evansville, IN 47715
(812) 402-3700
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1114393519
4972 LINCOLN AVE STE 204
Evansville, IN 47715
(812) 962-9020
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1225820004
2622 MENARDS DR
Evansville, IN 47715
(812) 450-2622
✔ PECOS✔ Accepts Medicare1.2 mi
Pediatric Medicine
NPI 1821136854
3700 BELLEMEADE AV STE 117
Evansville, IN 47714
(812) 485-7254
✔ PECOS1.4 mi
Qualified Audiologist
NPI 1609844109
3801 BELLEMEADE AVE
Evansville, IN 47714
(812) 425-2646
✔ Accepts Medicare1.4 mi
Neurology
NPI 1093719841
801 SAINT MARYS DR STE 303
Evansville, IN 47714
(812) 477-1560
✔ PECOS✔ Accepts Medicare1.5 mi
See all 444 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 15D0994044

Deaconess Clinic Lynch · Evansville, IN
Active · expires Jan 29, 2028
CLIA Number15D0994044
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorAnthony Inzerello
Laboratory Phone(812) 868-0530
Laboratory LocationDeaconess Clinic Lynch4949 Healthy Way Suite A, Evansville, IN 47715
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 Clinic, Inc.'s NPI number?

The NPI number for Deaconess Clinic, Inc. is 1538566500. It was assigned to this organization in the NPPES registry on November 19, 2014. The provider is doing business as Deaconess Clinic I.

Where is Deaconess Clinic, Inc. located?

Deaconess Clinic, Inc. is located at 4949 Healthy Way Ste A, Evansville, IN 47715. The listed phone number is (812) 868-0530.

What is Deaconess Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Deaconess Clinic, Inc. enrolled in Medicare?

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

How many clinicians bill Medicare through Deaconess Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 444 clinicians in 26 Medicare specialties reassign their Medicare billing to Deaconess Clinic, 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 (193), Family Practice (97) and Pediatric Medicine (33). Of these, 3 practice at this address and 274 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Waiver (number 15D0994044) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deaconess Clinic, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Deaconess Clinic, 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 Clinic, Inc. was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.