DEACONESS SPECIALTY PHYSICIANS, INC
NPI 1679077200
Internal Medicine - Cardiovascular Disease in Jasper, IN

Active since March 20, 2018
440 SCOTT ROLEN DR, JASPER, IN 47546(812) 450-7899(812) 450-6029 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 15, 2018, Mar 20, 2018 (2 updates tracked since 2018).

About Deaconess Specialty Physicians, Inc NPPES

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

DEACONESS SPECIALTY PHYSICIANS, INC (NPI 1679077200) is a healthcare organization registered as a cardiovascular disease in Jasper, Indiana and active in the NPI registry since March 2018. The organization lists Cheryl A Wathen, Secretary/treasurer, as its authorized official.

NPPES Registry Identity

NPI1679077200
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameDEACONESS SPECIALTY PHYSICIANS, INC
Location Address440 SCOTT ROLEN DRJasper, IN 47546
Mailing AddressPo Box 1230Evansville, IN 47706-1230 · (812) 450-7899 · Fax (812) 450-6029
Fax(812) 450-6029
Organization SubpartNo
Authorized OfficialCheryl A WathenSecretary/treasurer · (812) 450-3296
Enumeration DateMarch 20, 2018
Last NPPES UpdateMay 15, 20182 updates tracked since enumeration
✔ NPI 1679077200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse PractitionerTaxonomy 363L00000X
440 SCOTT ROLEN DR, Jasper, IN 47546

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 Specialty Physicians, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

264

Medicare enrollment records show 264 clinicians reassign Medicare billing to Deaconess Specialty Physicians, Inc, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 36 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 31

Nurse Practitioner76
Cardiovascular Disease (Cardiology)27
Family Practice25
Interventional Cardiology13
Hematology/Oncology12
Internal Medicine11
Orthopedic Surgery11
Cardiac Electrophysiology10
23 other specialties79

Nearest to this location (20)

See all 264
Cardiovascular Disease (Cardiology)
NPI 1588638993
440 SCOTT ROLEN DR
Jasper, IN 47546
(812) 482-5656
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1407903396
440 SCOTT ROLEN DR
Jasper, IN 47546
(812) 482-5656
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073925095
440 SCOTT ROLEN DR
Jasper, IN 47546
(812) 482-5656
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1558383869
440 SCOTT ROLEN DR
Jasper, IN 47546
(812) 482-5656
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1871090100
440 SCOTT ROLEN DR
Jasper, IN 47546
(812) 996-5781
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497303572
440 SCOTT ROLEN DRIVE
Jasper, IN 47546
(812) 482-5656
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306506753
440 SCOTT ROLEN DR
Jasper, IN 47546
(812) 482-5656
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1841422409
440 SCOTT ROLEN DR
Jasper, IN 47546
(812) 482-5656
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1407416472
645 W 5TH ST
Jasper, IN 47546
(812) 634-2778
✔ PECOS✔ Accepts Medicare0.1 mi
Podiatry
NPI 1508157280
645 W 5TH ST
Jasper, IN 47546
(812) 634-2778
✔ PECOS✔ Accepts Medicare0.1 mi
Podiatry
NPI 1528040714
645 W 5TH ST
Jasper, IN 47546
(812) 634-2778
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1114674405
695 W 2ND ST STE A2
Jasper, IN 47546
(812) 996-5950
✔ PECOS✔ Accepts Medicare0.2 mi
Orthopedic Surgery
NPI 1306266093
695 W 2ND ST STE 2A
Jasper, IN 47546
(812) 996-5950
✔ PECOS✔ Accepts Medicare0.2 mi
Orthopedic Surgery
NPI 1851557235
709 W 9TH ST
Jasper, IN 47546
(812) 996-6500
✔ PECOS✔ Accepts Medicare0.2 mi
Hematology/Oncology
NPI 1053350140
800 W 9TH ST
Jasper, IN 47546
(812) 996-0626
✔ PECOS✔ Accepts Medicare0.4 mi
Clinical Social Worker
NPI 1114510203
800 W 9TH ST
Jasper, IN 47546
(812) 996-0437
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1275311276
800 W 9TH ST
Jasper, IN 47546
(812) 996-0437
✔ PECOS✔ Accepts Medicare0.4 mi
Pulmonary Disease
NPI 1194915298
721 W 13TH ST SUITE 221
Jasper, IN 47546
(812) 482-0564
✔ PECOS✔ Accepts Medicare0.4 mi
Clinical Social Worker
NPI 1154767101
721 W 13TH ST STE 121
Jasper, IN 47546
(812) 996-5780
✔ PECOS✔ Accepts Medicare0.4 mi
Otolaryngology
NPI 1720425192
721 W 13TH ST STE 325
Jasper, IN 47546
(812) 996-5575
✔ PECOS✔ Accepts Medicare0.4 mi
See all 264 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 Specialty Physicians, Inc's NPI number?

The NPI number for Deaconess Specialty Physicians, Inc is 1679077200. It was assigned to this organization in the NPPES registry on March 20, 2018.

Where is Deaconess Specialty Physicians, Inc located?

Deaconess Specialty Physicians, Inc is located at 440 Scott Rolen Dr, Jasper, IN 47546. The listed phone number is (812) 450-7899.

What is Deaconess Specialty Physicians, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Deaconess Specialty Physicians, Inc enrolled in Medicare?

Yes. Deaconess Specialty Physicians, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deaconess Specialty Physicians, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 264 clinicians in 31 Medicare specialties reassign their Medicare billing to Deaconess Specialty Physicians, 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 (76), Cardiovascular Disease (Cardiology) (27) and Family Practice (25). Of these, 8 practice at this address and 36 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Deaconess Specialty Physicians, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Deaconess Specialty Physicians, 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 Specialty Physicians, Inc was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.