Deaconess Clinic, Inc
NPI 1639502859ActiveOrganization· Family Medicine· Boonville, IN
Family Medicine in Boonville, Indiana, registered in NPPES in August 2013. The authorized official on file is Cheryl A. Wathen, Cfo.
Overview
| NPI | 1639502859 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2013 |
| Last updated in NPPES | Oct 27, 2020 |
| Certified by provider | Oct 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Pediatrics | 208000000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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