MERCY CLINIC DERMATOLOGY LLC
NPI 1033470745
Dermatology in Washington, MO
About Mercy Clinic Dermatology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERCY CLINIC DERMATOLOGY LLC (NPI 1033470745) is a healthcare organization registered as a dermatology in Washington, Missouri and active in the NPI registry since May 2012. The organization lists Jonathan Tyler Sturgeon, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Mercy Clinic Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Mercy Clinic Dermatology LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: 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 Mercy Clinic Dermatology LLC's NPI number?
The NPI number for Mercy Clinic Dermatology LLC is 1033470745. It was assigned to this organization in the NPPES registry on May 30, 2012.
Where is Mercy Clinic Dermatology LLC located?
Mercy Clinic Dermatology LLC is located at 901 Patients First Dr Ste 3600, Washington, MO 63090. The listed phone number is (636) 390-1595.
What is Mercy Clinic Dermatology LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Mercy Clinic Dermatology LLC enrolled in Medicare?
Yes. Mercy Clinic Dermatology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mercy Clinic Dermatology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Mercy Clinic Dermatology LLC. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mercy Clinic Dermatology LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Mercy Clinic Dermatology LLC 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 Mercy Clinic Dermatology LLC was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mercy Clinic Dermatology Llc · NPI 1033470745
Dermatology organization in Washington, Missouri. Organization record, active in the CMS NPPES registry since May 30, 2012.
## Identity
- **NPI:** 1033470745 (Entity type: Organization)
- **Enumerated:** May 30, 2012
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** Yes (part of Mercy Clinic East Communities)
- **Authorized official:** Jonathan Sturgeon, CFO
## Practice location
- **Address:** 901 PATIENTS FIRST DR STE 3600, Washington, MO 63090-4700
- **Phone:** (636) 390-1595 · **Fax:** (636) 390-1596
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2026
- **Other identifiers:** Other DT7966 (MO); Medicaid 1033470745 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1033470745) · Data from the CMS NPPES public registry.