DEACONESS FAMILY MEDICINE RESIDENCY
NPI 1629097639
Family Medicine in Evansville, IN
About Deaconess Family Medicine Residency NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEACONESS FAMILY MEDICINE RESIDENCY (NPI 1629097639) is a healthcare organization registered as a family medicine in Evansville, Indiana and active in the NPI registry since July 2006. The organization lists Cheryl A Wathen, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
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 Family Medicine Residency 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 Family Medicine Residency, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 329 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 1629097639. It was assigned to this organization in the NPPES registry on July 19, 2006. The provider is doing business as Deaconess Family Medicine Residency.
Where is Deaconess Hospital, Inc. located?
Deaconess Hospital, Inc. is located at 415 W Columbia St Ste 110, Evansville, IN 47710. The listed phone number is (812) 450-3363.
What is Deaconess Hospital, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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, 14 practice at this address and 329 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Family Medicine Residency · NPI 1629097639
Family Medicine organization in Evansville, Indiana. Organization record, active in the CMS NPPES registry since July 19, 2006.
## Identity
- **NPI:** 1629097639 (Entity type: Organization)
- **Enumerated:** July 19, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Deaconess Hospital, Inc.
- **Organization subpart:** No
- **Authorized official:** Cheryl Wathen, CFO
## Practice location
- **Address:** 415 W COLUMBIA ST STE 110, Evansville, IN 47710-1656
- **Phone:** (812) 450-3363 · **Fax:** (812) 450-3071
## 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); 14 practice at this address and 329 within 10 miles; [full list](https://npiprofile.com/npi/1629097639/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 100241900 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1629097639) · Data from the CMS NPPES public registry.