DEACONESS PRIMARY CARE FOR SENIORS - NORTH
NPI 1750399259
Internal Medicine - Geriatric Medicine in Evansville, IN

Active since August 03, 2006
4498 N 1ST AVE, EVANSVILLE, IN 47710(812) 436-7280(812) 436-7290 Get Directions Write a Review

NPPES record last updated: July 3, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Deaconess Primary Care For Seniors - North NPPES

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

DEACONESS PRIMARY CARE FOR SENIORS - NORTH (NPI 1750399259) is a healthcare organization registered as a geriatric medicine in Evansville, Indiana and active in the NPI registry since August 2006. The organization lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1750399259
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameDEACONESS HOSPITAL, INC
Location Address4498 N 1ST AVEEvansville, IN 47710-3622
Mailing AddressPo Box 3407Evansville, IN 47733-3407 · (812) 450-6815 · Fax (812) 450-6822
Fax(812) 436-7290
Organization SubpartNo
Authorized OfficialCheryl A WathenCfo · (812) 450-3296
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 3, 2017
✔ NPI 1750399259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
4498 N 1ST AVE, Evansville, IN 47710

Other Names 1

Doing Business AsDeaconess Primary Care For Seniors - North

Other Identifiers 4

Medicaid200180960AIN
OtherCG1119IN · Rr Mcare Group #
Medicare ID-Type Unspecified351860IN
Medicare PINCG1119IN

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deaconess Primary Care For Seniors - North 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.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20040115000129Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

713

Medicare enrollment records show 713 clinicians reassign Medicare billing to Deaconess Primary Care For Seniors - North, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 324 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 31

Certified Registered Nurse Anesthetist (CRNA)159
Nurse Practitioner114
Hospitalist104
Emergency Medicine48
Internal Medicine46
Anesthesiology42
Family Practice29
Pulmonary Disease29
23 other specialties142

Nearest to this location (20)

See all 713
Nurse Practitioner
NPI 1013392620
4498 1ST AVE
Evansville, IN 47710
(812) 436-7280
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952911034
4506 1ST AVE
Evansville, IN 47710
(812) 428-6161
✔ PECOS✔ Accepts Medicare0.1 mi
Geriatric Medicine
NPI 1124512520
4498 1ST AVE
Evansville, IN 47710
(812) 436-7280
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1558405753
3838 N 1ST AVE # C
Evansville, IN 47710
(812) 402-8808
✔ PECOS✔ Accepts Medicare0.4 mi
Emergency Medicine
NPI 1104832658
DEACONESS HOSPITAL 600 MARY ST.
Evansville, IN 47747
(812) 450-3405
✔ PECOS✔ Accepts Medicare1.5 mi
Family Practice
NPI 1023095262
415 W COLUMBIA ST STE 110
Evansville, IN 47710
(812) 450-3363
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1134462070
415 W COLUMBIA ST STE 110
Evansville, IN 47710
(812) 450-3363
✔ PECOS✔ Accepts Medicare2.4 mi
Psychiatry
NPI 1720312028
415 W COLUMBIA ST STE 110
Evansville, IN 47710
(812) 450-3363
✔ PECOS✔ Accepts Medicare2.4 mi
Clinical Social Worker
NPI 1265728265
415 W COLUMBIA ST STE 110
Evansville, IN 47710
(812) 450-3363
✔ PECOS2.4 mi
Cardiovascular Disease (Cardiology)
NPI 1316900442
415 W COLUMBIA ST
Evansville, IN 47710
(812) 464-0521
✔ PECOS✔ Accepts Medicare2.4 mi
Interventional Cardiology
NPI 1417396094
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(812) 464-9133
✔ PECOS✔ Accepts Medicare2.4 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1235653908
350 W COLUMBIA ST STE 350
Evansville, IN 47710
(812) 450-7700
✔ PECOS✔ Accepts Medicare2.4 mi
General Surgery
NPI 1427116631
350 W COLUMBIA ST STE 350
Evansville, IN 47710
(812) 450-7700
✔ PECOS2.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1023416252
600 MARY ST
Evansville, IN 47710
(812) 450-3044
✔ PECOS✔ Accepts Medicare2.5 mi
Internal Medicine
NPI 1023577848
600 MARY ST
Evansville, IN 47710
(812) 450-5000
✔ PECOS✔ Accepts Medicare2.5 mi
Anesthesiology
NPI 1972593572
600 MARY ST
Evansville, IN 47710
(812) 450-5000
✔ PECOS✔ Accepts Medicare2.5 mi
Hospitalist
NPI 1457000887
600 MARY ST
Evansville, IN 47710
(812) 450-5000
✔ PECOS✔ Accepts Medicare2.5 mi
Neurology
NPI 1942620026
600 MARY STREET
Evansville, IN 47747
(812) 842-3082
✔ PECOS✔ Accepts Medicare2.5 mi
Hospice/Palliative Care
NPI 1568401503
520 MARY ST STE 340
Evansville, IN 47710
(812) 450-3201
✔ PECOS✔ Accepts Medicare2.6 mi
Pulmonary Disease
NPI 1720690555
519 HARRIET ST
Evansville, IN 47710
(812) 450-7720
✔ PECOS✔ Accepts Medicare2.6 mi
See all 713 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 Hospital, Inc's NPI number?

The NPI number for Deaconess Hospital, Inc is 1750399259. It was assigned to this organization in the NPPES registry on August 3, 2006. The provider is doing business as Deaconess Primary Care For Seniors - North.

Where is Deaconess Hospital, Inc located?

Deaconess Hospital, Inc is located at 4498 N 1st Ave, Evansville, IN 47710. The listed phone number is (812) 436-7280.

What is Deaconess Hospital, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

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, 1 practice at this address and 324 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 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 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.