MERCY CLINIC EAST COMMUNITIES
NPI 1235493776
Clinic/Center - Rural Health in Bourbon, 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 1235493776) is a healthcare organization registered as a rural health in Bourbon, Missouri and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through October 4, 2027 and lists Kerry Dunger, Executive Director - Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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 East Communities is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
227Medicare enrollment records show 227 clinicians reassign Medicare billing to Mercy Clinic East Communities, which bills Medicare for the services they deliver. Of these, 19 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 227Source: 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 26D1074778
Mercy Clinic East Communities Bourbon Internal Medicine · Bourbon, 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 1235493776. It was assigned to this organization in the NPPES registry on June 29, 2012.
Where is Mercy Clinic East Communities located?
Mercy Clinic East Communities is located at 125 N Old Highway 66, Bourbon, MO 65441. The listed phone number is (573) 679-2006.
What is Mercy Clinic East Communities's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Mercy Clinic East Communities enrolled in Medicare?
Yes. Mercy Clinic East Communities is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mercy Clinic East Communities?
According to the CMS Revalidation Reassignment List (October 2026 release), 227 clinicians in 11 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 (112), Family Practice (45) and Internal Medicine (32). Of these, 19 practice 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 26D1074778) is associated with this NPI, valid through October 4, 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 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 1235493776
Rural Health organization in Bourbon, Missouri. Organization record, active in the CMS NPPES registry since June 29, 2012.
## Identity
- **NPI:** 1235493776 (Entity type: Organization)
- **Enumerated:** June 29, 2012
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** Yes (part of Mercy Health East Communities)
- **Authorized official:** Kerry Dunger, EXECUTIVE DIRECTOR - FINANCE
## Practice location
- **Address:** 125 N OLD HIGHWAY 66, Bourbon, MO 65441-6298
- **Phone:** (573) 679-2006
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 227 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (112), Family Practice (45), Internal Medicine (32); 19 practice within 10 miles; [full list](https://npiprofile.com/npi/1235493776/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2025
- **Other identifiers:** Medicaid 596407106 (MO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235493776) · Data from the CMS NPPES public registry.