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

Active since February 03, 2015
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: October 18, 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 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

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 Hospital Booneville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

145

Medicare enrollment records show 145 clinicians reassign Medicare billing to Mercy Hospital Booneville, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Family Practice62
Emergency Medicine36
Nurse Practitioner24
Internal Medicine10
Certified Registered Nurse Anesthetist (CRNA)6
Cardiovascular Disease (Cardiology)2
Anesthesiology1
General Practice1
3 other specialties3

Nearest to this location (20)

See all 145
Family Practice
NPI 1770088296
880 W MAIN ST
Booneville, AR 72927
(479) 675-2800
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1568089555
880 W MAIN ST
Booneville, AR 72927
(479) 675-2800
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1447203757
880 W MAIN ST
Booneville, AR 72927
(479) 675-2800
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1558897967
880 W MAIN ST
Booneville, AR 72927
(479) 675-2800
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1952316366
880 W MAIN ST
Booneville, AR 72927
(479) 675-2800
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1053328955
880 W MAIN ST
Booneville, AR 72927
(479) 675-2800
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1497833610
880 W MAIN ST
Booneville, AR 72927
(479) 675-2800
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1427403955
880 W MAIN ST
Booneville, AR 72927
(479) 675-2800
✔ PECOSSame address
Nurse Practitioner
NPI 1356034748
880 W MAIN ST
Booneville, AR 72927
(479) 675-2800
✔ PECOSSame address
Emergency Medicine
NPI 1922208768
880 W MAIN ST
Booneville, AR 72927
(479) 675-2800
✔ PECOSSame address
Nurse Practitioner
NPI 1780908319
880 W MAIN ST
Booneville, AR 72927
(479) 675-2455
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1699738195
128 DANIEL AVE
Booneville, AR 72927
(479) 675-2455
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1457641763
128 DANIEL DR
Booneville, AR 72927
(479) 675-2455
✔ PECOS✔ Accepts Medicare3.0 mi
Nurse Practitioner
NPI 1154058816
128 DANIEL DR
Booneville, AR 72927
(479) 675-2455
✔ PECOS✔ Accepts Medicare3.0 mi
Nurse Practitioner
NPI 1316654767
128 DANIEL DR
Booneville, AR 72927
(479) 675-2455
✔ PECOS✔ Accepts Medicare3.0 mi
Family Practice
NPI 1558716738
128 DANIEL DR
Booneville, AR 72927
(479) 675-2455
✔ PECOS✔ Accepts Medicare3.0 mi
Internal Medicine
NPI 1528088846
9755 W STATE HIGHWAY 22
Ratcliff, AR 72951
(479) 635-5300
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1740664226
9755 W STATE HIGHWAY 22
Ratcliff, AR 72951
(479) 431-2050
✔ PECOS✔ Accepts Medicare12 mi
Family Practice
NPI 1184650616
303 S 5TH ST
Paris, AR 72855
(479) 452-2077
✔ PECOS✔ Accepts Medicare16 mi
Hospitalist
NPI 1962961995
7003 CHAD COLLEY BLVD
Barling, AR 72923
(479) 431-3500
✔ PECOS✔ Accepts Medicare25 mi
See all 145 clinicians

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 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.

Is Mercy Hospital Booneville enrolled in Medicare?

Yes. Mercy Hospital Booneville is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mercy Hospital Booneville?

According to the CMS Revalidation Reassignment List (October 2026 release), 145 clinicians in 11 Medicare specialties reassign their Medicare billing to Mercy Hospital Booneville. 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 Family Practice (62), Emergency Medicine (36) and Nurse Practitioner (24). Of these, 11 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mercy Hospital Booneville accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.