DEACONESS CLINIC I
NPI 1831345792
Clinic/Center - Rural Health in Petersburg, IN
About Deaconess Clinic I NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEACONESS CLINIC I (NPI 1831345792) is a healthcare organization registered as a rural health in Petersburg, Indiana and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through August 17, 2027 and lists Cheryl A Wathen, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 1
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 I 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 I, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 9 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 15D0919558
Deaconess Clinic Inc/Petersburg · Petersburg, 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 1831345792. It was assigned to this organization in the NPPES registry on August 12, 2008. The provider is doing business as Deaconess Clinic I.
Where is Deaconess Clinic, Inc located?
Deaconess Clinic, Inc is located at 106 W Pike Ave, Petersburg, IN 47567. The listed phone number is (812) 354-1052.
What is Deaconess Clinic, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
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, 4 practice at this address and 9 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 15D0919558) is associated with this NPI, valid through August 17, 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 August 10, 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 Clinic I · NPI 1831345792
Rural Health organization in Petersburg, Indiana. Organization record, active in the CMS NPPES registry since August 12, 2008.
## Identity
- **NPI:** 1831345792 (Entity type: Organization)
- **Enumerated:** August 12, 2008
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Deaconess Clinic, Inc
- **Organization subpart:** No
- **Authorized official:** Cheryl Wathen, CFO
## Practice location
- **Address:** 106 W PIKE AVE, Petersburg, IN 47567-8750
- **Phone:** (812) 354-1052 · **Fax:** (812) 354-8280
## 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); 4 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1831345792/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2017
- **Other identifiers:** Medicare PIN 257900 (IN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1831345792) · Data from the CMS NPPES public registry.