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MERCY CLINIC ILLINOIS, LLC
NPI 1164089124
Internal Medicine in Columbia, IL

Active since May 24, 2019
1019 VALMEYER RD, COLUMBIA, IL 62236(314) 543-5244(314) 543-5248 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mercy Clinic Illinois, Llc NPPES

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

MERCY CLINIC ILLINOIS, LLC (NPI 1164089124) is a healthcare organization registered as an internal medicine in Columbia, Illinois and active in the NPI registry since May 2019. The organization lists Kerry Dunger, Executive Director - Finance, as its authorized official.

NPPES Registry Identity

NPI1164089124
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMERCY CLINIC ILLINOIS, LLC
Location Address1019 VALMEYER RDColumbia, IL 62236-4123
Mailing Address1019 Valmeyer RdColumbia, IL 62236-4123 · (314) 543-5244 · Fax (314) 543-5248
Phone(314) 543-5244
Fax(314) 543-5248
Organization SubpartNo
Authorized OfficialKerry DungerExecutive Director - Finance · (314) 364-3707
Enumeration DateMay 24, 2019
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1164089124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1019 VALMEYER RD, Columbia, IL 62236
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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 Clinic Illinois, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Mercy Clinic Illinois, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Carrie Daigle, MD
Family Practice
NPI 1477758571
1019 VALMEYER RD
Columbia, IL 62236
(618) 205-7170
✔ PECOS✔ Accepts MedicareSame address
Tina Valentine, CNP
Nurse Practitioner
NPI 1356337224
421 S MAIN ST
Columbia, IL 62236
(618) 281-7151
✔ PECOS✔ Accepts Medicare1.6 mi
Donna Wagstaff, MD
Family Practice
NPI 1326030586
4438 TELEGRAPH RD
Saint Louis, MO 63129
(314) 543-5996
✔ PECOS✔ Accepts Medicare5.2 mi
Nancy Birner, MD
Pediatric Medicine
NPI 1043214778
12700 SOUTHFORK RD STE 215
Saint Louis, MO 63128
(314) 543-5244
✔ PECOS✔ Accepts Medicare9.5 mi
Stephanie Simms, AGNP
Nurse Practitioner
NPI 1710492202
12700 SOUTHFORK RD STE 235
Saint Louis, MO 63128
(314) 543-5244
✔ PECOS✔ Accepts Medicare9.5 mi
Jessica Dickman
Nurse Practitioner
NPI 1669940656
1035 BELLEVUE AVE STE 500
Saint Louis, MO 63117
(314) 925-4773
✔ PECOS✔ Accepts Medicare14 mi
Krista Covert, NP-C
Nurse Practitioner
NPI 1447848213
1540 E GROVE AVE
Rantoul, IL 61866
(217) 893-7700
✔ PECOS✔ Accepts Medicare171 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 Illinois, LLC's NPI number?

The NPI number for Mercy Clinic Illinois, LLC is 1164089124. It was assigned to this organization in the NPPES registry on May 24, 2019.

Where is Mercy Clinic Illinois, LLC located?

Mercy Clinic Illinois, LLC is located at 1019 Valmeyer Rd, Columbia, IL 62236. The listed phone number is (314) 543-5244.

What is Mercy Clinic Illinois, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mercy Clinic Illinois, LLC enrolled in Medicare?

Yes. Mercy Clinic Illinois, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mercy Clinic Illinois, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Mercy Clinic Illinois, LLC. 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 Nurse Practitioner (4), Family Practice (2) and Pediatric Medicine (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mercy Clinic Illinois, LLC 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 2 other insurers list Mercy Clinic Illinois, 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 Clinic Illinois, 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 18 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.