MERCY CLINIC EAST COMMUNITIES
NPI 1164857397
Clinic/Center - Multi-Specialty in Wildwood, MO
About Mercy Clinic East Communities NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERCY CLINIC EAST COMMUNITIES (NPI 1164857397) is a healthcare organization registered as a multi-specialty in Wildwood, Missouri and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through June 24, 2027, maintains 2 additional practice locations, and lists Kerry Dunger, Executive Director - Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Other Identifiers 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 Clinic East Communities is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 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
831Medicare enrollment records show 831 clinicians reassign Medicare billing to Mercy Clinic East Communities, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 130 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 19
Nearest to this location (20)
See all 831Source: 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 Waiver 26D1007464
Mercy Clinic East Communities · 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 Clinic East Communities's NPI number?
The NPI number for Mercy Clinic East Communities is 1164857397. It was assigned to this organization in the NPPES registry on September 6, 2013. The provider is also known as Mercy Clinic Convenient Care.
Where is Mercy Clinic East Communities located?
Mercy Clinic East Communities is located at 16555 Manchester Rd Ste 110, Wildwood, MO 63040. The listed phone number is (636) 405-3155.
What is Mercy Clinic East Communities's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Mercy Clinic East Communities enrolled in Medicare?
Yes. Mercy Clinic East Communities is registered in the Medicare PECOS enrollment system.
When is Mercy Clinic 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 March 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 Clinic East Communities?
According to the CMS Revalidation Reassignment List (October 2026 release), 831 clinicians in 19 Medicare specialties reassign their Medicare billing to Mercy Clinic 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 Nurse Practitioner (337), Family Practice (168) and Internal Medicine (145). Of these, 11 practice at this address and 130 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mercy Clinic East Communities hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D1007464) is associated with this NPI, valid through June 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mercy Clinic 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 2 other insurers list Mercy Clinic 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 Clinic East Communities was last updated on April 25, 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.
# Mercy Clinic East Communities · NPI 1164857397
Multi-Specialty organization in Wildwood, Missouri. Organization record, active in the CMS NPPES registry since September 6, 2013.
## Identity
- **NPI:** 1164857397 (Entity type: Organization)
- **Enumerated:** September 6, 2013
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** Mercy Clinic Convenient Care (Other Name)
- **Organization subpart:** Yes (part of Mercy Health East Communities)
- **Authorized official:** Kerry Dunger, EXECUTIVE DIRECTOR - FINANCE
## Practice location
- **Address:** 16555 MANCHESTER RD STE 110, Wildwood, MO 63040-1220
- **Phone:** (636) 405-3155 · **Fax:** (636) 405-3162
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Missouri, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 831 clinicians in 19 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (337), Family Practice (168), Internal Medicine (145); 11 practice at this address and 130 within 10 miles; [full list](https://npiprofile.com/npi/1164857397/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 25, 2025
- **Other identifiers:** Medicaid 1164857397 (MO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164857397) · Data from the CMS NPPES public registry.