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: August 16, 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

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.

Other Providers at the Same Location NPPES 4

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

Family Medicine
4949 HEALTHY WAY STE A
EVANSVILLE, IN 47715
Nurse Practitioner
4949 HEALTHY WAY STE A
EVANSVILLE, IN 47715
Nurse Practitioner (Acute Care)
4949 HEALTHY WAY STE A
EVANSVILLE, IN 47715
Nurse Practitioner
4949 HEALTHY WAY STE A
EVANSVILLE, IN 47715

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.

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 Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and 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 5 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.