DEACONESS CLINIC INC.
NPI 1699921585
Family Medicine in Rockport, IN
About Deaconess Clinic Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEACONESS CLINIC INC. (NPI 1699921585), doing business as Deaconess Clinic Ii, is a healthcare organization registered as a family medicine in Rockport, Indiana and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through April 21, 2027 and lists Cheryl A Wathen, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 4
Group Practice 1
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 Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
444Medicare enrollment records show 444 clinicians reassign Medicare billing to Deaconess Clinic Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 26
Nearest to this location (20)
See all 444Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 of Waiver 15D2006166
Deaconess Clinic Reo · Rockport, INFrequently 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 Clinic Inc.'s NPI number?
The NPI number for Deaconess Clinic Inc. is 1699921585. It was assigned to this organization in the NPPES registry on August 12, 2008. The provider is doing business as Deaconess Clinic II.
Where is Deaconess Clinic Inc. located?
Deaconess Clinic Inc. is located at 3434 W State Road 66, Rockport, IN 47635. The listed phone number is (812) 649-5061.
What is Deaconess Clinic Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Deaconess Clinic Inc. enrolled in Medicare?
Yes. Deaconess Clinic Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deaconess Clinic Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 444 clinicians in 26 Medicare specialties reassign their Medicare billing to Deaconess Clinic 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Deaconess Clinic Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D2006166) is associated with this NPI, valid through April 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Deaconess Clinic 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 Clinic 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 Clinic Inc. was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 Clinic Inc. · NPI 1699921585
Family Medicine organization in Rockport, Indiana. Organization record, active in the CMS NPPES registry since August 12, 2008.
## Identity
- **NPI:** 1699921585 (Entity type: Organization)
- **Enumerated:** August 12, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Deaconess Clinic II (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Cheryl Wathen, CFO
## Practice location
- **Address:** 3434 W STATE ROAD 66, Rockport, IN 47635-9259
- **Phone:** (812) 649-5061 · **Fax:** (812) 649-5224
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 444 clinicians in 26 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (193), Family Practice (97), Pediatric Medicine (33); 2 practice at this address and 3 within 10 miles; [full list](https://npiprofile.com/npi/1699921585/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 22, 2026
- **Other identifiers:** Medicaid 200910900 (IN); Other 7100051640 (KY); Other 7100051610 (KY); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699921585) · Data from the CMS NPPES public registry.