MERCY HOSPITAL WASHINGTON MCAULEY CLINIC
NPI 1104912997
Clinic/Center - Rural Health in Washington, MO
About Mercy Hospital Washington Mcauley Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERCY HOSPITAL WASHINGTON MCAULEY CLINIC (NPI 1104912997) is a healthcare organization registered as a rural health in Washington, Missouri and active in the NPI registry since October 2006. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Mark Thorn, Executive Director Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mercy Hospital Washington Mcauley Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
197Medicare enrollment records show 197 clinicians reassign Medicare billing to Mercy Hospital Washington Mcauley Clinic, which bills Medicare for the services they deliver. Of these, 29 practice at this address and 44 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 197Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Accreditation 26D0437927
Mercy Hospital Washington · Washington, MOFrequently 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 Hospitals East Communities's NPI number?
The NPI number for Mercy Hospitals East Communities is 1104912997. It was assigned to this organization in the NPPES registry on October 5, 2006. The provider is doing business as Mercy Hospital Washington Mcauley Clinic.
Where is Mercy Hospitals East Communities located?
Mercy Hospitals East Communities is located at 851 E 5th St Suite 200, Washington, MO 63090. The listed phone number is (636) 239-8000.
What is Mercy Hospitals East Communities's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Mercy Hospitals East Communities enrolled in Medicare?
Yes. Mercy Hospitals East Communities is registered in the Medicare PECOS enrollment system.
When is Mercy Hospitals East Communities's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mercy Hospitals East Communities?
According to the CMS Revalidation Reassignment List (October 2026 release), 197 clinicians in 14 Medicare specialties reassign their Medicare billing to Mercy Hospitals East 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 Emergency Medicine (120), Qualified Audiologist (23) and Family Practice (12). Of these, 29 practice at this address and 44 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mercy Hospitals East Communities hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 26D0437927) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mercy Hospitals East 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 3 other insurers list Mercy Hospitals East 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 Hospitals East Communities was last updated on February 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 Hospital Washington Mcauley Clinic · NPI 1104912997
Rural Health organization in Washington, Missouri. Organization record, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1104912997 (Entity type: Organization)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Mercy Hospitals East Communities
- **Organization subpart:** No
- **Authorized official:** Mark Thorn, EXECUTIVE DIRECTOR FINANCE
## Practice location
- **Address:** 851 E 5TH ST, SUITE 200, Washington, MO 63090-3129
- **Phone:** (636) 239-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Missouri, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 197 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (120), Qualified Audiologist (23), Family Practice (12); 29 practice at this address and 44 within 10 miles; [full list](https://npiprofile.com/npi/1104912997/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2021
- **Other identifiers:** Medicaid 590636908 (MO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104912997) · Data from the CMS NPPES public registry.