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Deaconess Clinc Inc

Deaconess Clinc Inc is a healthcare organization registered as Nurse Practitioner in Marion, IL, holding Type 2 (organization) NPI 1295591634 since 2024. The authorized official on file is Cheryl Wathen, Cfo.

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NPI 1295591634
Entity type Organization (Type 2)
Legal business name Deaconess Clinc Inc
Practice address 3329 W DEYOUNG ST, Marion, IL, 62959
Phone 8124506966
Enumeration date 2024-02-23
Last updated in NPPES 2024-02-23

Authorized official

Name Cheryl Wathen
Title Cfo
Phone 8124503296

Taxonomy & classification

Taxonomy code Specialty Primary License State
363A00000X Physician Assistant Secondary
363L00000X Nurse Practitioner Primary
Copy-ready billing details
Provider: Deaconess Clinc Inc
NPI: 1295591634
Taxonomy: 363L00000X (Nurse Practitioner)
Address: 3329 W DEYOUNG ST, Marion, IL, 62959

Providers at this address

NPI Name Type Specialty Location
1285920835 Mitchell Cook Individual Foot & Ankle Surgery Podiatrist Marion, IL
1538886114 Deaconess Illinois Clinic, Inc Organization Family Medicine Physician Marion, IL
1386351856 Deaconess Illinois Specialty Clinic, Inc. Organization Orthopaedic Surgery Physician Marion, IL
1134068240 Ryan Leonberger Individual Nurse Practitioner Marion, IL

Verify this record

Cross-check NPI 1295591634 against the authoritative CMS record: view Deaconess Clinc Inc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Deaconess Clinc Inc?
Deaconess Clinc Inc is registered in NPPES as a Nurse Practitioner (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-02-23.