MERCY HOSPITAL BOONEVILLE
NPI 1083004733
Nurse Anesthetist, Certified Registered in Booneville, AR

Active since February 03, 2015CLIA 04D0469307 · Certificate of Compliance
880 W MAIN ST, BOONEVILLE, AR 72927(479) 675-2800 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mercy Hospital Booneville NPPES

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

MERCY HOSPITAL BOONEVILLE (NPI 1083004733) is a healthcare organization registered as a nurse anesthetist, certified registered in Booneville, Arkansas and active in the NPI registry since February 2015. The organization holds a CLIA Certificate of Compliance certificate valid through June 2, 2027 and lists Sherry Clouse Day, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1083004733
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameMERCY HOSPITAL BOONEVILLE
Location Address880 W MAIN STBooneville, AR 72927-3443
Mailing Address880 W Main StBooneville, AR 72927-3443 · (479) 675-2800
Organization SubpartNo
Authorized OfficialSherry Clouse DayVp Finance · (417) 820-8439
Enumeration DateFebruary 3, 2015
Last NPPES UpdateMay 2, 2025
NPPES CertifiedMay 2, 2025
NPI 1083004733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

880 W MAIN ST, Booneville, AR 72927

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 04D0469307

Mercy Hospital Booneville · Booneville, AR
Active · expires Jun 2, 2027
CLIA Number04D0469307
Laboratory TypeHospital
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorDr. James J. Babcock
Laboratory Phone(479) 675-2800
Laboratory LocationMercy Hospital Booneville880 West Main Street, Booneville, AR 72927
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
880 W MAIN ST
BOONEVILLE, AR 72927
Nurse Practitioner
880 W MAIN ST
BOONEVILLE, AR 72927
Medicare Defined Swing Bed Unit
880 W MAIN ST
BOONEVILLE, AR 72927
Surgery
880 W MAIN ST
BOONEVILLE, AR 72927
Nurse Practitioner (Gerontology)
880 W MAIN ST
BOONEVILLE, AR 72927
Family Medicine
880 W MAIN ST
BOONEVILLE, AR 72927
Emergency Medicine
880 W MAIN ST
BOONEVILLE, AR 72927
Family Medicine
880 W MAIN ST
BOONEVILLE, AR 72927

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 Hospital Booneville's NPI number?

The NPI number for Mercy Hospital Booneville is 1083004733. It was assigned to this organization in the NPPES registry on February 3, 2015.

Where is Mercy Hospital Booneville located?

Mercy Hospital Booneville is located at 880 W Main St, Booneville, AR 72927. The listed phone number is (479) 675-2800.

What is Mercy Hospital Booneville's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Does Mercy Hospital Booneville hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 04D0469307) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mercy Hospital Booneville accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Mercy Hospital Booneville 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 Hospital Booneville was last updated on May 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.