MERCY CLINIC EAR, NOSE & THROAT-BERRYVILLE
NPI 1124069877
Otolaryngology in Berryville, AR

Active since June 10, 2006
613 ORCHARD DR, BERRYVILLE, AR 72616(870) 423-4240(870) 423-4241 Get Directions Write a Review

NPPES record last updated: October 29, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mercy Clinic Ear, Nose & Throat-berryville NPPES

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

MERCY CLINIC EAR, NOSE & THROAT-BERRYVILLE (NPI 1124069877) is a healthcare organization registered as an otolaryngology in Berryville, Arkansas and active in the NPI registry since June 2006. The organization lists Stuart G. Stangeland, Senior Vice President/coo, as its authorized official.

NPPES Registry Identity

NPI1124069877
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameMERCY CLINIC SPRINGFIELD COMMUNITIES
Location Address613 ORCHARD DRBerryville, AR 72616-5013
Mailing AddressPo Box 505164Saint Louis, MO 63150-5164 · (417) 829-4620
Fax(870) 423-4241
Organization SubpartNo
Authorized OfficialStuart G. StangelandSenior Vice President/coo · (417) 820-6556
Enumeration DateJune 10, 2006
Last NPPES UpdateOctober 29, 2013
✔ NPI 1124069877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in AR · R8E81
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License E0693 (AR)
613 ORCHARD DR, Berryville, AR 72616

Other Names 1

Doing Business AsMercy Clinic Ear, Nose & Throat-berryville

Other Identifiers 3

Medicaid500147301MO
Medicare PIN5C895AR
Medicaid150959002AR

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

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 Clinic Ear, Nose & Throat-berryville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Mercy Clinic Ear, Nose & Throat-Berryville, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 9

Family Practice5
Nurse Practitioner4
General Surgery3
Cardiovascular Disease (Cardiology)1
Diagnostic Radiology1
Gastroenterology1
Internal Medicine1
Interventional Cardiology1
1 other specialty1

Clinicians, nearest first (18)

Nurse Practitioner
NPI 1194141267
207 CARTER ST
Berryville, AR 72616
(870) 423-5661
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1417307547
207 CARTER ST
Berryville, AR 72616
(870) 423-3355
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1114017555
207 CARTER ST
Berryville, AR 72616
(870) 423-6661
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1811421431
207 CARTER ST
Berryville, AR 72616
(870) 423-6661
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1528446283
207 CARTER ST
Berryville, AR 72616
(870) 423-6661
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1750961785
207 CARTER ST
Berryville, AR 72616
(870) 438-5216
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1972921252
214 CARTER ST
Berryville, AR 72616
(870) 423-5185
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1770040222
92 MAIN ST
Cassville, MO 65625
(417) 847-5225
✔ PECOS✔ Accepts Medicare28 mi
Interventional Cardiology
NPI 1437477783
2708 S RIFE MEDICAL LN STE 220
Rogers, AR 72758
(479) 338-4400
✔ PECOS✔ Accepts Medicare35 mi
Cardiovascular Disease (Cardiology)
NPI 1902086119
2708 RIFE MEDICAL LANE STE 220
Rogers, AR 72758
(479) 338-4400
✔ PECOS✔ Accepts Medicare35 mi
General Surgery
NPI 1356362040
1001 S HORSEBARN RD
Rogers, AR 72758
(479) 273-7700
✔ PECOS✔ Accepts Medicare36 mi
General Surgery
NPI 1871790113
1101 S HORSEBARN RD
Rogers, AR 72758
(479) 273-7700
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1760925598
21 S WINDSOR DR
Rogers, AR 72758
(479) 601-6407
✔ PECOS✔ Accepts Medicare36 mi
Family Practice
NPI 1255306502
1125 N COLLEGE AVE
Fayetteville, AR 72703
(479) 521-8260
✔ PECOS39 mi
Gastroenterology
NPI 1619905122
2115 S FREMONT AVE
Springfield, MO 65804
(417) 820-5200
✔ PECOS✔ Accepts Medicare59 mi
Diagnostic Radiology
NPI 1285772046
1235 E CHEROKEE ST
Springfield, MO 65804
(417) 820-9729
✔ PECOS✔ Accepts Medicare59 mi
General Surgery
NPI 1265449755
120 HOSPITAL DR SUITE 200
Lebanon, MO 65536
(417) 533-6780
✔ PECOS✔ Accepts Medicare104 mi
Pulmonary Disease
NPI 1386688778
1120 S UTICA AVE
Tulsa, OK 74104
(918) 579-1000
✔ PECOS✔ Accepts Medicare136 mi

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 Clinic Springfield Communities's NPI number?

The NPI number for Mercy Clinic Springfield Communities is 1124069877. It was assigned to this organization in the NPPES registry on June 10, 2006. The provider is doing business as Mercy Clinic Ear, Nose & Throat-Berryville.

Where is Mercy Clinic Springfield Communities located?

Mercy Clinic Springfield Communities is located at 613 Orchard Dr, Berryville, AR 72616. The listed phone number is (870) 423-4240.

What is Mercy Clinic Springfield Communities's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Mercy Clinic Springfield Communities enrolled in Medicare?

Yes. Mercy Clinic Springfield Communities is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mercy Clinic Springfield Communities?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 9 Medicare specialties reassign their Medicare billing to Mercy Clinic Springfield 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 Family Practice (5), Nurse Practitioner (4) and General Surgery (3). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mercy Clinic Springfield Communities was last updated on October 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.