MERCY CLINIC FAMILY MEDICINE-SUMMERSVILLE
NPI 1053444000
Clinic/Center - Rural Health in Summersville, MO
About Mercy Clinic Family Medicine-summersville NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERCY CLINIC FAMILY MEDICINE-SUMMERSVILLE (NPI 1053444000) is a healthcare organization registered as a rural health in Summersville, Missouri and active in the NPI registry since March 2007. The organization lists William Roberts, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
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 Family Medicine-summersville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,480Medicare enrollment records show 1,480 clinicians reassign Medicare billing to Mercy Clinic Family Medicine-Summersville, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 61
Nearest to this location (20)
See all 1,480Source: 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 Springfield Communities's NPI number?
The NPI number for Mercy Clinic Springfield Communities is 1053444000. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is doing business as Mercy Clinic Family Medicine-Summersville.
Where is Mercy Clinic Springfield Communities located?
Mercy Clinic Springfield Communities is located at 149 Rogers Ave, Summersville, MO 65571. The listed phone number is (417) 932-4119.
What is Mercy Clinic Springfield Communities's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Mercy Clinic Springfield Communities enrolled in Medicare?
Yes. Mercy Clinic Springfield Communities is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mercy Clinic Springfield Communities?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,480 clinicians in 61 Medicare specialties reassign their Medicare billing to Mercy Clinic Springfield Communities. 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. The largest specialties are Nurse Practitioner (410), Certified Registered Nurse Anesthetist (CRNA) (150) and Family Practice (129). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mercy Clinic Springfield Communities 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 Springfield Communities 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 Springfield Communities was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 Family Medicine-Summersville · NPI 1053444000
Rural Health organization in Summersville, Missouri. Organization record, active in the CMS NPPES registry since March 13, 2007.
## Identity
- **NPI:** 1053444000 (Entity type: Organization)
- **Enumerated:** March 13, 2007
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Mercy Clinic Springfield Communities
- **Organization subpart:** No
- **Authorized official:** William Roberts, CFO
## Practice location
- **Address:** 149 ROGERS AVE, Summersville, MO 65571
- **Phone:** (417) 932-4119 · **Fax:** (417) 932-4838
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,480 clinicians in 61 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (410), Certified Registered Nurse Anesthetist (CRNA) (150), Family Practice (129); 2 practice at this address; [full list](https://npiprofile.com/npi/1053444000/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2023
- **Other identifiers:** Medicaid 595813809 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1053444000) · Data from the CMS NPPES public registry.