DEACONESS HOSPITAL, INC.
NPI 1619755329
Clinical Nurse Specialist in Newburgh, IN
About Deaconess Hospital, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEACONESS HOSPITAL, INC. (NPI 1619755329), doing business as Deaconess Wound Care - Gateway Mob 6, is a healthcare organization registered as a clinical nurse specialist in Newburgh, Indiana and active in the NPI registry since September 2023. The organization lists Cheryl Annette Wathen, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deaconess Hospital, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
713Medicare enrollment records show 713 clinicians reassign Medicare billing to Deaconess Hospital, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 326 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 31
Nearest to this location (20)
See all 713Source: 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 Hospital, Inc.'s NPI number?
The NPI number for Deaconess Hospital, Inc. is 1619755329. It was assigned to this organization in the NPPES registry on September 15, 2023. The provider is doing business as Deaconess Wound Care - Gateway MOB 6.
Where is Deaconess Hospital, Inc. located?
Deaconess Hospital, Inc. is located at 4219 Gateway Blvd, Newburgh, IN 47630. The listed phone number is (812) 450-7700.
What is Deaconess Hospital, Inc.'s specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.
Is Deaconess Hospital, Inc. enrolled in Medicare?
Yes. Deaconess Hospital, Inc. is registered in the Medicare PECOS enrollment system.
When is Deaconess Hospital, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Deaconess Hospital, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 713 clinicians in 31 Medicare specialties reassign their Medicare billing to Deaconess Hospital, 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 Certified Registered Nurse Anesthetist (CRNA) (159), Nurse Practitioner (114) and Hospitalist (104). Of these, 3 practice at this address and 326 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Deaconess Hospital, Inc. was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Deaconess Hospital, Inc. · NPI 1619755329
Clinical Nurse Specialist organization in Newburgh, Indiana. Organization record, active in the CMS NPPES registry since September 15, 2023.
## Identity
- **NPI:** 1619755329 (Entity type: Organization)
- **Enumerated:** September 15, 2023
- **Primary specialty:** Clinical Nurse Specialist · taxonomy 364S00000X
- **Also known as:** Deaconess Wound Care - Gateway MOB 6 (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Cheryl Wathen, CFO
## Practice location
- **Address:** 4219 GATEWAY BLVD, Newburgh, IN 47630-7925
- **Phone:** (812) 450-7700 · **Fax:** (812) 450-7708
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 713 clinicians in 31 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (159), Nurse Practitioner (114), Hospitalist (104); 3 practice at this address and 326 within 10 miles; [full list](https://npiprofile.com/npi/1619755329/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1619755329) · Data from the CMS NPPES public registry.