DEACONESS CLINIC I
NPI 1609108976
Nurse Practitioner in Mount Vernon, IN

Active since February 11, 2010
813 E 4TH ST STE A, MOUNT VERNON, IN 47620(812) 838-2139(812) 838-9214 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 27, 2020, Feb 19, 2020, Aug 10, 2017 (3 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 1609108976) is a healthcare organization registered as a nurse practitioner in Mount Vernon, Indiana and active in the NPI registry since February 2010. The organization lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1609108976
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameDEACONESS CLINC INC
Location Address813 E 4TH ST STE AMount Vernon, IN 47620-2012
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 838-2139 · Fax (812) 838-9214
Fax(812) 838-9214
Organization SubpartNo
Authorized OfficialCheryl A WathenCfo · (812) 450-3296
Enumeration DateFebruary 11, 2010
Last NPPES UpdateOctober 27, 20203 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1609108976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysician AssistantTaxonomy 363A00000X
813 E 4TH ST STE A, Mount Vernon, IN 47620

Other Names 1

Doing Business AsDeaconess Clinic I

Other Identifiers 1

Medicaid200910700IN

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, 1 practice at this address and 2 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 1518649391
813 E 4TH ST
Mount Vernon, IN 47620
(812) 450-1325
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568897452
4601 HIGHWAY 62 E BLDG 120
Mount Vernon, IN 47620
(812) 307-2336
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1013200930
8600 UNIVERSITY BLVD RM HP0091
Evansville, IN 47712
(812) 465-1250
✔ PECOS✔ Accepts Medicare12 mi
Family Practice
NPI 1407205958
801 FELSTEAD RD
Evansville, IN 47712
(812) 490-3880
✔ PECOS✔ Accepts Medicare13 mi
Internal Medicine
NPI 1407186687
545 S BOEHNE CAMP RD
Evansville, IN 47712
(812) 429-1818
✔ PECOS✔ Accepts Medicare13 mi
Pediatric Medicine
NPI 1669549101
545 S BOEHNE CAMP RD
Evansville, IN 47712
(812) 429-1818
✔ PECOS13 mi
Dermatology
NPI 1053549139
120 SE 4TH ST
Evansville, IN 47708
(812) 426-9355
✔ PECOS✔ Accepts Medicare17 mi
Clinical Psychologist
NPI 1023694379
120 SE 4TH ST
Evansville, IN 47708
(812) 426-9862
✔ PECOS✔ Accepts Medicare17 mi
Hospitalist
NPI 1497984074
1300 MERRITT DR
Henderson, KY 42420
(812) 450-8600
✔ PECOS✔ Accepts Medicare17 mi
Gastroenterology
NPI 1326200536
421 CHESTNUT ST
Evansville, IN 47713
(812) 426-9545
✔ PECOS✔ Accepts Medicare18 mi
Urology
NPI 1891093456
421 CHESTNUT ST
Evansville, IN 47713
(812) 426-9855
✔ PECOS✔ Accepts Medicare18 mi
Podiatry
NPI 1730375882
421 CHESTNUT ST
Evansville, IN 47713
(812) 479-6909
✔ PECOS✔ Accepts Medicare18 mi
Clinical Social Worker
NPI 1659631836
421 CHESTNUT ST
Evansville, IN 47713
(812) 426-9779
✔ PECOS✔ Accepts Medicare18 mi
Allergy/Immunology
NPI 1922175694
421 CHESTNUT ST
Evansville, IN 47713
(812) 426-9459
✔ PECOS✔ Accepts Medicare18 mi
Infectious Disease
NPI 1205065737
520 MARY ST STE 230
Evansville, IN 47710
(812) 450-8600
✔ PECOS✔ Accepts Medicare18 mi
Hospice/Palliative Care
NPI 1568401503
520 MARY ST STE 340
Evansville, IN 47710
(812) 450-3201
✔ PECOS✔ Accepts Medicare18 mi
Otolaryngology
NPI 1003887563
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(812) 425-2646
✔ PECOS✔ Accepts Medicare18 mi
Qualified Audiologist
NPI 1043373319
350 W COLUMBIA ST
Evansville, IN 47710
(812) 425-2646
✔ Accepts Medicare18 mi
Neurology
NPI 1093719841
801 SAINT MARYS DR STE 303
Evansville, IN 47714
(812) 477-1560
✔ PECOS✔ Accepts Medicare21 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1265769137
3900 WASHINGTON AVE STE 100
Evansville, IN 47714
(812) 485-6694
21 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.

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 Clinc Inc's NPI number?

The NPI number for Deaconess Clinc Inc is 1609108976. It was assigned to this organization in the NPPES registry on February 11, 2010. The provider is doing business as Deaconess Clinic I.

Where is Deaconess Clinc Inc located?

Deaconess Clinc Inc is located at 813 E 4th St Ste A, Mount Vernon, IN 47620. The listed phone number is (812) 838-2139.

What is Deaconess Clinc Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Deaconess Clinc Inc enrolled in Medicare?

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

How many clinicians bill Medicare through Deaconess Clinc Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 444 clinicians in 26 Medicare specialties reassign their Medicare billing to Deaconess Clinc 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Deaconess Clinc Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Cigna Healthcare list Deaconess Clinc 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 Clinc Inc was last updated on October 27, 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.