DEACONESS PLASTIC AND RECONSTRUCTIVE SURGERY
NPI 1790896462
Surgery - Plastic and Reconstructive Surgery in Evansville, IN
About Deaconess Plastic And Reconstructive Surgery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEACONESS PLASTIC AND RECONSTRUCTIVE SURGERY (NPI 1790896462) is a healthcare organization registered as a plastic and reconstructive surgery in Evansville, Indiana and active in the NPI registry since August 2006. The organization lists Cheryl Annette Wathen, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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 Plastic And Reconstructive Surgery 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 Plastic And Reconstructive Surgery, which bills Medicare for the services they deliver. Of these, 10 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 1790896462. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Deaconess Plastic And Reconstructive Surgery.
Where is Deaconess Hospital, Inc located?
Deaconess Hospital, Inc is located at 421 Chestnut St, Evansville, IN 47713. The listed phone number is (812) 426-9371.
What is Deaconess Hospital, Inc's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
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, 10 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 November 7, 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.
# Deaconess Plastic And Reconstructive Surgery · NPI 1790896462
Plastic and Reconstructive Surgery organization in Evansville, Indiana. Organization record, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1790896462 (Entity type: Organization)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **Legal business name:** Deaconess Hospital, Inc
- **Organization subpart:** No
- **Authorized official:** Cheryl Wathen, CFO
## Practice location
- **Address:** 421 CHESTNUT ST, Evansville, IN 47713-1227
- **Phone:** (812) 426-9371 · **Fax:** (812) 450-8102
## 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); 10 practice at this address and 326 within 10 miles; [full list](https://npiprofile.com/npi/1790896462/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2017
- **Other identifiers:** Medicare ID-Type Unspecified 208370 (IN); Medicare PIN CG1119 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1790896462) · Data from the CMS NPPES public registry.