MERCY HOSPITAL BOONEVILLE
NPI 1083004733
Nurse Anesthetist, Certified Registered in Booneville, AR
NPI Status: Active since February 03, 2015
Contact Information
880 W MAIN ST
BOONEVILLE, AR
ZIP 72927
Phone: (479) 675-2800
- Organization
- Nurse Anesthetist, Certified Registered
- Accepts Insurance
- CLIA Number: 04D0469307
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 06-30-2025
About MERCY HOSPITAL BOONEVILLE
This page provides the complete NPI Profile along with additional information for Mercy Hospital Booneville, a provider established in Booneville, Arkansas operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1083004733 assigned on February 2015. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated May 2025. Mercy Hospital Booneville operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Sherry Clouse Day (Vp Finance)
- NPI
- 1083004733
- Provider Name
- MERCY HOSPITAL BOONEVILLE
- Entity Type
- Organization
- Location Address
- 880 W MAIN ST BOONEVILLE, AR 72927
- Location Phone
- (479) 675-2800
- Mailing Address
- 880 W MAIN ST BOONEVILLE, AR 72927
- Mailing Phone
- (479) 675-2800
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-03-2015
- Last Update Date
- 05-02-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 04D0469307
- Facility Type
- Hospital
- Certificate Effective Date
- June 03, 2023
- Certificate Expiration Date
- June 30, 2025
- Laboratory Director
- DR. GEORGE J. WANG
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Mercy Hospital Booneville 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.
Reviews for MERCY HOSPITAL BOONEVILLE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 0 | 0 | 4 | 7 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 0 | 0 | 8 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 0 + 0 + 8 + 7 + 6 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1083004733 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
SAHIBZADA A AHMED M.D.
Surgery
880 W MAIN ST
BOONEVILLE, AR
ZIP 72927
DR. SYED IMRAN HAMID M.D.
Family Medicine
880 W MAIN ST
BOONEVILLE, AR
ZIP 72927
JULIE ELIZABETH GREEK APN
Nurse Practitioner
(Family)
880 W MAIN ST
BOONEVILLE, AR
ZIP 72927
MERCY HOSPITAL FORT SMITH
Home Health
880 W MAIN ST
BOONEVILLE, AR
ZIP 72927
MERCY HOSPITAL BOONEVILLE
Medicare Defined Swing Bed Unit
880 W MAIN ST
BOONEVILLE, AR
ZIP 72927
MERCY HOSPITAL BOONEVILLE
General Acute Care Hospital
(Critical Access)
880 W MAIN ST
BOONEVILLE, AR
ZIP 72927
SHERRY DENISE TURNER D.O.
Emergency Medicine
880 W MAIN ST
BOONEVILLE, AR
ZIP 72927
DR. LISA MICHELLE HENDRIX M.D.
Family Medicine
880 W MAIN ST
BOONEVILLE, AR
ZIP 72927
HANNAH GRACE EVELD
Emergency Medicine
880 W MAIN ST
BOONEVILLE, AR
ZIP 72927
DENNIS JARED BERRY MD
Family Medicine
880 W MAIN ST
BOONEVILLE, AR
ZIP 72927
MR. STEVEN LEE MCDONALD APRN
Nurse Practitioner
880 W MAIN ST
BOONEVILLE, AR
ZIP 72927
DR. ANDREW DAVID DANIEL MD
Emergency Medicine
880 W MAIN ST
BOONEVILLE, AR
ZIP 72927
DAVID SEAN HOPKINS
Family Medicine
880 W MAIN ST
BOONEVILLE, AR
ZIP 72927
JUSTIN LEE SCANTLING APRN
Nurse Practitioner
(Gerontology)
880 W MAIN ST
BOONEVILLE, AR
ZIP 72927
ROBERT BENJAMIN BOWMAN DO
Emergency Medicine
880 W MAIN ST
BOONEVILLE, AR
ZIP 72927
EDWARD LARRY GILLS M.D.
Family Medicine
880 W MAIN ST
BOONEVILLE, AR
ZIP 72927
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083004733, enumerated as an "organization" on February 03, 2015.
The provider is located at 880 W MAIN ST BOONEVILLE, AR 72927 and the phone number is (479) 675-2800.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.
