MERCY HOSPITAL ST. LOUIS PROFESSIONAL SURGICAL SERVICES LLC
NPI 1154782340
Physician Assistant - Surgical in Saint Louis, MO

Active since March 15, 2016CLIA 26D0440781 · Accreditation
625 S NEW BALLAS RD, SAINT LOUIS, MO 63141(314) 364-4347 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mercy Hospital St. Louis Professional Surgical Services Llc NPPES

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

MERCY HOSPITAL ST. LOUIS PROFESSIONAL SURGICAL SERVICES LLC (NPI 1154782340) is a healthcare organization registered as a surgical in Saint Louis, Missouri and active in the NPI registry since March 2016. The organization holds an CLIA Accreditation certificate valid through February 8, 2027 and lists Kerry Dunger, Executive Director - Finance, as its authorized official.

NPPES Registry Identity

NPI1154782340
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameMERCY HOSPITAL ST. LOUIS PROFESSIONAL SURGICAL SERVICES LLC
Location Address625 S NEW BALLAS RDSaint Louis, MO 63141-8253
Mailing Address625 S New Ballas RdSaint Louis, MO 63141-8253
Organization SubpartNo
Authorized OfficialKerry DungerExecutive Director - Finance · (314) 364-3707
Enumeration DateMarch 15, 2016
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
NPI 1154782340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedSurgeryTaxonomy 208600000X
625 S NEW BALLAS RD, Saint Louis, MO 63141

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 Accreditation 26D0440781

Mercy Hospital St Louis · Saint Louis, MO
Active · expires Feb 8, 2027
CLIA Number26D0440781
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Julie Hinkle
Laboratory Phone(314) 251-6243
Laboratory LocationMercy Hospital St Louis615 S New Ballas Rd, Saint Louis, MO 63141
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
625 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Nurse Practitioner (Adult Health)
625 S NEW BALLAS RD, SUITE 2030
SAINT LOUIS, MO 63141
Internal Medicine (Cardiovascular Disease)
625 S NEW BALLAS RD, SUITE #2015
SAINT LOUIS, MO 63141
Internal Medicine (Cardiovascular Disease)
625 S NEW BALLAS RD, SUITE 2030
SAINT LOUIS, MO 63141
Internal Medicine (Cardiovascular Disease)
625 S NEW BALLAS RD, SUITE 2030
SAINT LOUIS, MO 63141
Internal Medicine (Critical Care Medicine)
625 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Emergency Medicine
625 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Nurse Practitioner (Adult Health)
625 S NEW BALLAS RD, SUITE 2010
SAINT LOUIS, MO 63141

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 St. Louis Professional Surgical Services LLC's NPI number?

The NPI number for Mercy Hospital St. Louis Professional Surgical Services LLC is 1154782340. It was assigned to this organization in the NPPES registry on March 15, 2016.

Where is Mercy Hospital St. Louis Professional Surgical Services LLC located?

Mercy Hospital St. Louis Professional Surgical Services LLC is located at 625 S New Ballas Rd, Saint Louis, MO 63141. The listed phone number is (314) 364-4347.

What is Mercy Hospital St. Louis Professional Surgical Services LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Does Mercy Hospital St. Louis Professional Surgical Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 26D0440781) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mercy Hospital St. Louis Professional Surgical Services LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Mercy Hospital St. Louis Professional Surgical Services LLC 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 St. Louis Professional Surgical Services LLC was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.