Deaconess Clinic, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DEACONESS CLINIC, INC.

Practice address

801 Felstead Rd Ste 100
Evansville, IN 47712-3638

Phone

(812) 426-9480

Fax

(812) 426-9591

NPI assigned

Mar 11, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cheryl Annette Wathen

Title

Cfo

Phone

(812) 450-3296

Specialties & licenses 2

Addresses

Other names 1

• Deaconess Clinic - Felstead Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Deaconess Clinc Inc99 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Deaconess Clinic Inc

  • Nurse Practitioner
  • Evansville, IN
  • NPI 1053010637
  NPD tax ID
• Deaconess Clinic Inc

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1093000283
  NPD tax ID
• Deaconess Clinic Inc

  • Pediatrics Physician
  • Jasper, IN
  • NPI 1104617141
  NPD tax ID
• Deaconess Clinic Inc.

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1023264306
  NPD tax ID
• Deaconess Clinic, Inc

  • Nurse Practitioner
  • Jasper, IN
  • NPI 1013890250
  NPD tax ID
• Deaconess Clinic, Inc

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1043466329
  NPD tax ID
• Deaconess Clinic, Inc

  • Occupational Medicine Clinic/Center
  • Evansville, IN
  • NPI 1053514943
  NPD tax ID
• Deaconess Clinic, Inc

  • Allergy & Immunology Physician
  • Evansville, IN
  • NPI 1093143216
  NPD tax ID
• Deaconess Clinic, Inc

  • Clinic/Center
  • Boonville, IN
  • NPI 1174026363
  NPD tax ID
• Deaconess Clinic, Inc

  • Nurse Practitioner
  • Princeton, IN
  • NPI 1174384192
  NPD tax ID
• Deaconess Clinic, Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Evansville, IN
  • NPI 1184057937
  NPD tax ID
• Deaconess Clinic, Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Evansville, IN
  • NPI 1194159418
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Morris Ferguson, NP

  • Nurse Practitioner
  • Jasper, IN
  • NPI 1194210575
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1083472369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3366",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477323366",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 FELSTEAD RD STE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477123638",
            "telephone_number": "812-426-9480",
            "fax_number": "812-426-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEACONESS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "WATHEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "812-450-3296"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deaconess Clinic - Felstead",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Deaconess Clinic - Felstead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deaconess Clinic, Inc
• Deaconess Clinic, Inc
• Deaconess Clinic, Inc.
• Deaconess Clinic, Inc.
• Deaconess Clinic, Inc.
• Deaconess Clinic, Inc.
• Deaconess Clinic, Inc.
• Deaconess Clinic, Inc.
• Deaconess Clinic, Inc.
• Deaconess Clinic, Inc.

• Pediatrics Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.