DEACONESS CLINIC INC
NPI 1972165421
Internal Medicine - Gastroenterology in Henderson, KY
About Deaconess Clinic Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEACONESS CLINIC INC (NPI 1972165421), doing business as Deaconess Clinic - Henderson Mob, is a healthcare organization registered as a gastroenterology in Henderson, Kentucky and active in the NPI registry since July 2019. The organization lists Cheryl Annette Wathen, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 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 Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
174Medicare enrollment records show 174 clinicians reassign Medicare billing to Deaconess Clinic Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 43 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 174Source: 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 1972165421. It was assigned to this organization in the NPPES registry on July 5, 2019. The provider is doing business as Deaconess Clinic - Henderson MOB.
Where is Deaconess Clinic Inc located?
Deaconess Clinic Inc is located at 1305 N Elm St Ste G, Henderson, KY 42420. The listed phone number is (270) 827-0064.
What is Deaconess Clinic Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
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), 174 clinicians in 16 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 (102), Family Practice (28) and Internal Medicine (7). Of these, 3 practice at this address and 43 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 August 20, 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.
# Deaconess Clinic Inc · NPI 1972165421
Gastroenterology organization in Henderson, Kentucky. Organization record, active in the CMS NPPES registry since July 5, 2019.
## Identity
- **NPI:** 1972165421 (Entity type: Organization)
- **Enumerated:** July 5, 2019
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Also known as:** Deaconess Clinic - Henderson MOB (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Cheryl Wathen, CFO
## Practice location
- **Address:** 1305 N ELM ST STE G, Henderson, KY 42420-2783
- **Phone:** (270) 827-0064 · **Fax:** (270) 826-3338
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 174 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (102), Family Practice (28), Internal Medicine (7); 3 practice at this address and 43 within 10 miles; [full list](https://npiprofile.com/npi/1972165421/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1972165421) · Data from the CMS NPPES public registry.