Deaconess Clinic, Inc
NPI 1639502859 · Family Medicine Physician · Boonville, IN
Deaconess Clinic, Inc is a Family Medicine Physician organization in Boonville, IN (NPI 1639502859).
Provider details
- NPI number
- 1639502859
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cheryl Wathen, Cfo(812) 450-3296
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Deaconess Clinic I
- Doing business as
- Deaconess Clinic I
Registry dates
- Enumerated
- 2013-08-12
- Last updated
- 2020-10-27
- Certified
- 2020-10-27
Frequently asked questions
- What is Deaconess Clinic, Inc's NPI number?
- Deaconess Clinic, Inc's National Provider Identifier (NPI) is 1639502859, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Deaconess Clinic, Inc?
- Deaconess Clinic, Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Deaconess Clinic, Inc located?
- Deaconess Clinic, Inc's practice location on file with NPPES is 3150 Warrick Dr, Boonville, IN 47601-8602.
- What is Deaconess Clinic, Inc's phone number?
- The practice phone number listed in the NPPES registry for Deaconess Clinic, Inc is (812) 858-3355.
- Who is the authorized official for Deaconess Clinic, Inc?
- The authorized official listed on Deaconess Clinic, Inc's NPPES record is Cheryl Wathen, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Deaconess Clinic, Inc's NPI active?
- Yes — Deaconess Clinic, Inc's NPI (1639502859) is active in the NPPES registry as of the last update on 2020-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.