DEACONESS CLINIC - INFECTIOUS DISEASE MARY STREET
NPI 1902425812
Internal Medicine - Infectious Disease in Evansville, IN

Active since April 10, 2020
520 MARY ST STE 230, EVANSVILLE, IN 47710(812) 450-8600(812) 450-8151 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 17, 2020, Apr 10, 2020 (2 updates tracked since 2020).

About Deaconess Clinic - Infectious Disease Mary Street NPPES

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

DEACONESS CLINIC - INFECTIOUS DISEASE MARY STREET (NPI 1902425812) is a healthcare organization registered as an infectious disease in Evansville, Indiana and active in the NPI registry since April 2020. The organization lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1902425812
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameDEACONESS CLINIC, INC
Location Address520 MARY ST STE 230Evansville, IN 47710-1678
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 450-6815 · Fax (812) 450-6822
Fax(812) 450-8151
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296
Enumeration DateApril 10, 2020
Last NPPES UpdateJune 17, 20202 updates tracked since enumeration
NPPES CertifiedJune 17, 2020
✔ NPI 1902425812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
520 MARY ST STE 230, Evansville, IN 47710

Other Names 2

Doing Business AsDeaconess Clinic - Infectious Disease Mary Street
Doing Business AsDeaconess Clinic - Morganfield

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 Clinic - Infectious Disease Mary Street is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

534

Medicare enrollment records show 534 clinicians reassign Medicare billing to Deaconess Clinic - Infectious Disease Mary Street, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 326 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 27

Nurse Practitioner246
Family Practice117
Pediatric Medicine35
Internal Medicine25
Otolaryngology14
Gastroenterology13
Endocrinology9
Urology9
19 other specialties66

Nearest to this location (20)

See all 534
Family Practice
NPI 1306981394
520 MARY ST STE 340
Evansville, IN 47710
(812) 450-6700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1093370983
520 MARY ST STE 340
Evansville, IN 47710
(812) 450-3201
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972813780
520 MARY ST STE 340
Evansville, IN 47710
(812) 450-3201
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1205065737
520 MARY ST STE 230
Evansville, IN 47710
(812) 450-8600
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1568401503
520 MARY ST STE 340
Evansville, IN 47710
(812) 450-3201
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1770842460
520 MARY ST STE 340
Evansville, IN 47710
(812) 450-6700
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1790302271
520 MARY ST STE 340
Evansville, IN 47710
(812) 450-6700
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1598768848
520 MARY ST STE 340
Evansville, IN 47710
(812) 450-6700
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1821091117
520 MARY ST STE 340
Evansville, IN 47710
(812) 450-6700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528340593
520 MARY ST SUITE 520
Evansville, IN 47710
(812) 424-8231
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144608605
520 MARY ST STE 340
Evansville, IN 47710
(812) 450-3201
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1538337019
520 MARY ST STE 340
Evansville, IN 47710
(812) 450-3201
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184498529
520 MARY ST STE 340
Evansville, IN 47710
(812) 450-3201
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1578092805
520 MARY ST STE 230
Evansville, IN 47710
(812) 450-8600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134901515
520 MARY ST STE 520
Evansville, IN 47710
(812) 424-8231
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1891247748
520 MARY ST STE 520
Evansville, IN 47710
(812) 424-8231
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1376982371
600 MARY ST
Evansville, IN 47710
(812) 450-7338
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1982137428
600 MARY ST
Evansville, IN 47710
(812) 450-3405
✔ PECOS✔ Accepts Medicare0.1 mi
Otolaryngology
NPI 1003887563
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(812) 425-2646
✔ PECOS✔ Accepts Medicare0.2 mi
Qualified Audiologist
NPI 1043373319
350 W COLUMBIA ST
Evansville, IN 47710
(812) 425-2646
✔ Accepts Medicare0.2 mi
See all 534 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 Clinic, Inc's NPI number?

The NPI number for Deaconess Clinic, Inc is 1902425812. It was assigned to this organization in the NPPES registry on April 10, 2020. The provider is doing business as Deaconess Clinic - Infectious Disease Mary Street and Deaconess Clinic - Morganfield.

Where is Deaconess Clinic, Inc located?

Deaconess Clinic, Inc is located at 520 Mary St Ste 230, Evansville, IN 47710. The listed phone number is (812) 450-8600.

What is Deaconess Clinic, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

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), 534 clinicians in 27 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 (246), Family Practice (117) and Pediatric Medicine (35). Of these, 16 practice at this address and 326 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.