DEACONESS FAMILY MEDICINE
NPI 1578727475
Family Medicine in Evansville, IN

Active since July 10, 2008CLIA 15D1018741 · Microscopy
415 W COLUMBIA ST, STE 100, EVANSVILLE, IN 47710(812) 450-6200(812) 450-6202 Get Directions Write a Review

NPPES record last updated: August 21, 2017. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 21, 2017, Jul 3, 2017, Jun 30, 2017 (3 updates tracked since 2017).

About Deaconess Family Medicine NPPES

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

DEACONESS FAMILY MEDICINE (NPI 1578727475) is a healthcare organization registered as a family medicine in Evansville, Indiana and active in the NPI registry since July 2008. The organization holds a CLIA Microscopy certificate valid through October 29, 2027 and lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1578727475
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS HOSPITAL, INC
Location Address415 W COLUMBIA ST, STE 100Evansville, IN 47710-1656
Mailing AddressPo Box 3407Evansville, IN 47733-3407 · (812) 450-6200 · Fax (812) 450-6202
Fax(812) 450-6202
Organization SubpartNo
Authorized OfficialCheryl A WathenCfo · (812) 450-3296
Enumeration DateJuly 10, 2008
Last NPPES UpdateAugust 21, 20173 updates tracked since enumeration
✔ NPI 1578727475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedPsychologistTaxonomy 103T00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
415 W COLUMBIA ST, Evansville, IN 47710

Other Names 1

Doing Business AsDeaconess Family Medicine

Other Identifiers 2

Medicaid100241900IN
Medicare PIN849950IN

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 for Provider-Performed Microscopy Procedures (PPMP) 15D1018741

Deaconess Family Medicine · Evansville, IN
Active · expires Oct 29, 2027
CLIA Number15D1018741
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2025
Certificate Expiration DateOctober 29, 2027
Laboratory DirectorHannah Simpson
Laboratory Phone(812) 450-6200
Laboratory LocationDeaconess Family Medicine415 W Columbia St, Evansville, IN 47710
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Cardiovascular Disease)
415 W COLUMBIA ST
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST, STE 110
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST
EVANSVILLE, IN 47710
Clinical Medical Laboratory
415 W COLUMBIA ST
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST, STE 110
EVANSVILLE, IN 47710
Nurse Practitioner (Family)
415 W COLUMBIA ST, STE 110
EVANSVILLE, IN 47710
Clinic/Center (Radiology)
415 W COLUMBIA ST
EVANSVILLE, IN 47710

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 1578727475. It was assigned to this organization in the NPPES registry on July 10, 2008. The provider is doing business as Deaconess Family Medicine.

Where is Deaconess Hospital, Inc located?

Deaconess Hospital, Inc is located at 415 W Columbia St Ste 100, Evansville, IN 47710. The listed phone number is (812) 450-6200.

What is Deaconess Hospital, Inc's specialty?

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

Does Deaconess Hospital, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D1018741) is associated with this NPI, valid through October 29, 2027. 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 August 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.