MERCY CLINIC-NEUROSURGERY
NPI 1053518530
Durable Medical Equipment & Medical Supplies in Springfield, MO

Active since June 28, 2007CLIA 26D0447886 · Certificate of Compliance
1965 S FREMONT AVE, SUITE 130, SPRINGFIELD, MO 65804(417) 820-5150(417) 820-5155 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mercy Clinic-neurosurgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERCY CLINIC-NEUROSURGERY (NPI 1053518530) is a healthcare organization registered as a durable medical equipment & medical supplies in Springfield, Missouri and active in the NPI registry since June 2007. The organization holds a CLIA Certificate of Compliance certificate valid through October 10, 2026 and lists Donn E. Sorensen, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1053518530
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMERCY CLINIC-SPRINGFIELD COMMUNITIES
Location Address1965 S FREMONT AVE, SUITE 130Springfield, MO 65804-2201
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620 · Fax (417) 829-4316
Fax(417) 820-5155
Organization SubpartNo
Authorized OfficialDonn E. SorensenSenior Vice President · (417) 829-4264
Enumeration DateJune 28, 2007
Last NPPES UpdateFebruary 7, 2012
NPI 1053518530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

1965 S FREMONT AVE, Springfield, MO 65804

Other Names 1

Doing Business AsMercy Clinic-neurosurgery

Other Identifiers 1

Medicare NSC0472580040MO

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D0447886
Facility Type
Physician Office
Certificate Effective Date
October 11, 2024
Certificate Expiration Date
October 10, 2026
Laboratory Director
ROBERT JOHNSON
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Mercy Clinic-neurosurgery after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804
Surgery
1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804
Psychiatry & Neurology (Psychiatry)
1965 S FREMONT AVE, SUITE 330
SPRINGFIELD, MO 65804
Nurse Practitioner (Obstetrics & Gynecology)
1965 S FREMONT AVE, SUITE 270
SPRINGFIELD, MO 65804
Physician Assistant
1965 S FREMONT AVE, SUITE 130
SPRINGFIELD, MO 65804
Psychiatry & Neurology (Psychiatry)
1965 S FREMONT AVE, SUITE 330
SPRINGFIELD, MO 65804
Obstetrics & Gynecology
1965 S FREMONT AVE, SUITE 270
SPRINGFIELD, MO 65804
Obstetrics & Gynecology
1965 S FREMONT AVE, SUITE 270
SPRINGFIELD, MO 65804
Nurse Practitioner (Family)
1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804
Nurse Practitioner (Family)
1965 S FREMONT AVE, SUITE 230
SPRINGFIELD, MO 65804
Psychiatry & Neurology (Neurology)
1965 S FREMONT AVE, SUITE 230
SPRINGFIELD, MO 65804
Psychiatry & Neurology (Neurology)
1965 S FREMONT AVE, SUITE 230
SPRINGFIELD, MO 65804
Nurse Practitioner (Gerontology)
1965 S FREMONT AVE, SUITE 300
SPRINGFIELD, MO 65804
Otolaryngology
1965 S FREMONT AVE, SUITE 120
SPRINGFIELD, MO 65804
Urology
1965 S FREMONT AVE, SUITE 370
SPRINGFIELD, MO 65804
Psychologist
1965 S FREMONT AVE, SUITE 310
SPRINGFIELD, MO 65804
Psychiatry & Neurology (Psychiatry)
1965 S FREMONT AVE, SUITE 310
SPRINGFIELD, MO 65804
Durable Medical Equipment & Medical Supplies
1965 S FREMONT AVE
SPRINGFIELD, MO 65804
Durable Medical Equipment & Medical Supplies
1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804
Psychiatry & Neurology (Neurology)
1965 S FREMONT AVE, SUITE 200
SPRINGFIELD, MO 65804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053518530, enumerated as an "organization" on June 28, 2007.

The provider is located at 1965 S FREMONT AVE SUITE 130 SPRINGFIELD, MO 65804 and the phone number is (417) 820-5150.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.