DEACONESS MEMORIAL MEDICAL CENTER INC
NPI 1861420689
Psychiatry & Neurology - Psychiatry in Jasper, IN

Active since June 29, 2006
721 W 13TH ST, SUITE 101, JASPER, IN 47546(812) 481-5780 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Deaconess Memorial Medical Center Inc NPPES

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

DEACONESS MEMORIAL MEDICAL CENTER INC (NPI 1861420689), doing business as Memorial Hospital And Health Care Center Psychiatric Physician Practic, is a healthcare organization registered as a psychiatry in Jasper, Indiana and active in the NPI registry since June 2006. The organization lists Keith Miller, Cao & Indiana Region President, as its authorized official.

NPPES Registry Identity

NPI1861420689
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameDEACONESS MEMORIAL MEDICAL CENTER INC
Location Address721 W 13TH ST, SUITE 101Jasper, IN 47546-1855
Mailing Address800 W 9th StJasper, IN 47546-2514
Organization SubpartYes
Authorized OfficialKeith MillerCao & Indiana Region President · (812) 996-0507
Enumeration DateJune 29, 2006
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1861420689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
721 W 13TH ST, Jasper, IN 47546

Other Names 1

Doing Business AsMemorial Hospital And Health Care Center Psychiatric Physician Practic

Other Identifiers 2

OtherCB3118IN · Railroad Medicare
Medicaid200048850CIN

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 Memorial Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

171

Medicare enrollment records show 171 clinicians reassign Medicare billing to Deaconess Memorial Medical Center Inc, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 68 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Nurse Practitioner53
Family Practice20
Emergency Medicine16
Diagnostic Radiology12
Hospitalist12
Internal Medicine9
Psychiatry7
Cardiovascular Disease (Cardiology)5
18 other specialties37

Nearest to this location (20)

See all 171
Nurse Practitioner
NPI 1861966533
721 W 13TH ST STE 221
Jasper, IN 47546
(812) 996-0564
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1245270214
721 W 13TH ST STE 321
Jasper, IN 47546
(812) 996-7918
✔ PECOSSame address
Nurse Practitioner
NPI 1255888475
721 W 13TH ST STE 121
Jasper, IN 47546
(812) 996-5780
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1194915298
721 W 13TH ST SUITE 221
Jasper, IN 47546
(812) 482-0564
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1902881436
721 W 13TH ST STE 321
Jasper, IN 47546
(812) 482-7918
✔ PECOSSame address
Family Practice
NPI 1356310627
721 W 13TH ST SUITE 322
Jasper, IN 47546
(812) 634-6646
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1154767101
721 W 13TH ST STE 121
Jasper, IN 47546
(812) 996-5780
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1760758742
721 W 13TH ST SUITE 321
Jasper, IN 47546
(812) 996-7918
✔ PECOSSame address
Otolaryngology
NPI 1720425192
721 W 13TH ST STE 325
Jasper, IN 47546
(812) 996-5575
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1366553786
721 W 13TH ST STE 121
Jasper, IN 47546
(812) 996-5780
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1295287886
800 W 9TH ST
Jasper, IN 47546
(812) 996-2345
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1609133255
800 W 9TH ST
Jasper, IN 47546
(812) 996-2345
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1265460935
800 W 9TH ST
Jasper, IN 47546
(812) 630-8660
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1518377944
800 W 9TH ST
Jasper, IN 47546
(812) 996-2345
✔ PECOS✔ Accepts Medicare0.1 mi
Anesthesiology
NPI 1568626919
800 W 9TH ST
Jasper, IN 47546
(812) 996-2345
✔ PECOS✔ Accepts Medicare0.1 mi
Diagnostic Radiology
NPI 1619060290
800 W 9TH ST
Jasper, IN 47546
(812) 482-0524
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1275311276
800 W 9TH ST
Jasper, IN 47546
(812) 996-0437
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1790245926
800 W 9TH ST
Jasper, IN 47546
(812) 996-7918
✔ PECOS0.1 mi
Family Practice
NPI 1275276560
751 W 9TH ST
Jasper, IN 47546
(812) 996-7474
✔ PECOS✔ Accepts Medicare0.2 mi
Podiatry
NPI 1508157280
645 W 5TH ST
Jasper, IN 47546
(812) 634-2778
✔ PECOS✔ Accepts Medicare0.4 mi
See all 171 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 9

Medicare supplier enrollment and the product categories Memorial Hospital And Health Care C carries, from the Medicare DMEPOS supplier directory.

Memorial Hospital And Health Care C

DMEPOS supplier · Jasper, INOperated by Little Company Of Mary Hospital Of Indiana Inc
✔

Accepts Medicare assignment

Memorial Hospital And Health Care C agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20678177
Medicare Participant SinceOctober 1, 1984
Supplier Location721 W 13th St Ste 202Jasper, IN 47546
Provider TypeOxygen & Equipment
Supplier Specialties
Hospital Pharmacy

Medicare Product Categories

Neuromuscular Elect Stimulators (NMES)/Supplies
Electrodes, lead wires, adhesive tape
Ultraviolet Light Devices and/or Supplies
Hand-held phototherapy devices, UV light therapy panels, Multidirectional light therapy
Neurostimulators and/or Supplies
Rechargable neurostimulators, Non-rechargable neurostimulators
Tracheotomy Supplies
Tracheostomy care kits
Continuous Positive Airway Pressure (CPAP) Devices
CPAP machines, Compressor systems, Humidifiers, Masks
Nebulizer Equipment and/or Supplies
Nebulizers, Atomizers, Filters
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Memorial Medical Center Inc's NPI number?

The NPI number for Deaconess Memorial Medical Center Inc is 1861420689. It was assigned to this organization in the NPPES registry on June 29, 2006. The provider is doing business as Memorial Hospital and Health Care Center Psychiatric Physician Practic.

Where is Deaconess Memorial Medical Center Inc located?

Deaconess Memorial Medical Center Inc is located at 721 W 13th St Suite 101, Jasper, IN 47546. The listed phone number is (812) 481-5780.

What is Deaconess Memorial Medical Center Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Deaconess Memorial Medical Center Inc enrolled in Medicare?

Yes. Deaconess Memorial Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deaconess Memorial Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 171 clinicians in 26 Medicare specialties reassign their Medicare billing to Deaconess Memorial Medical Center 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 (53), Family Practice (20) and Emergency Medicine (16). Of these, 8 practice at this address and 68 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Deaconess Memorial Medical Center Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Memorial Hospital And Health Care C accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Deaconess Memorial Medical Center Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Deaconess Memorial Medical Center 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 Memorial Medical Center Inc was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.