MERCY FAMILY MEDICINE - MANSFIELD
NPI 1295774917
Clinic/Center - Rural Health in Mansfield, AR

Active since June 06, 2006CLIA 04D0881080 · Waiver
100 N WALNUT AVE STE A, MANSFIELD, AR 72944(479) 928-4404(479) 928-4414 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mercy Family Medicine - Mansfield NPPES

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

MERCY FAMILY MEDICINE - MANSFIELD (NPI 1295774917) is a healthcare organization registered as a rural health in Mansfield, Arkansas and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through July 12, 2028 and lists Sherry Lynn Clouse Day, Vp Finance Mercy Cah, as its authorized official.

NPPES Registry Identity

NPI1295774917
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMERCY HOSPITAL WALDRON
Location Address100 N WALNUT AVE STE AMansfield, AR 72944-3522
Mailing Address5401 Ellsworth RdFort Smith, AR 72903-3219 · (479) 314-1101 · Fax (479) 314-4740
Fax(479) 928-4414
Organization SubpartNo
Authorized OfficialSherry Lynn Clouse DayVp Finance Mercy Cah · (417) 820-8439
Enumeration DateJune 6, 2006
Last NPPES UpdateFebruary 17, 2021
NPPES CertifiedFebruary 17, 2021
✔ NPI 1295774917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in AR · AR4196
100 N WALNUT AVE STE A, Mansfield, AR 72944

Other Names 1

Other NameMercy Family Medicine - Mansfield

Other Identifiers 2

Medicaid162620729AR
Other5F644AR · Blue Cross Blueshield

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 Family Medicine - Mansfield is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

136

Medicare enrollment records show 136 clinicians reassign Medicare billing to Mercy Family Medicine - Mansfield, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Family Practice56
Emergency Medicine33
Nurse Practitioner28
Internal Medicine11
Cardiovascular Disease (Cardiology)2
Certified Registered Nurse Anesthetist (CRNA)2
Anesthesiology1
Hospitalist1
2 other specialties2

Nearest to this location (20)

See all 136
Nurse Practitioner
NPI 1548927619
100 N WALNUT AVE
Mansfield, AR 72944
(479) 928-4404
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1700811478
100 N WALNUT AVE STE A
Mansfield, AR 72944
(479) 928-4404
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1063836542
20 N ASTER ST
Greenwood, AR 72936
(479) 996-4111
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1629408497
2074 RICE ST
Waldron, AR 72958
(479) 668-4700
✔ PECOS✔ Accepts Medicare13 mi
Family Practice
NPI 1285862540
2074 RICE ST
Waldron, AR 72958
(479) 668-4700
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1144753302
1341 W 6TH ST
Waldron, AR 72958
(479) 637-4135
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1346804812
1341 W 6TH ST
Waldron, AR 72958
(479) 637-2136
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1801410527
1341 W 6TH ST
Waldron, AR 72958
(479) 637-2136
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1447991880
1341 W 6TH ST
Waldron, AR 72958
(479) 637-2136
✔ PECOS✔ Accepts Medicare14 mi
Hospitalist
NPI 1962961995
7003 CHAD COLLEY BLVD
Barling, AR 72923
(479) 431-3500
✔ PECOS✔ Accepts Medicare18 mi
Emergency Medicine
NPI 1568089555
880 W MAIN ST
Booneville, AR 72927
(479) 675-2800
✔ PECOS✔ Accepts Medicare18 mi
Emergency Medicine
NPI 1447203757
880 W MAIN ST
Booneville, AR 72927
(479) 675-2800
✔ PECOS✔ Accepts Medicare18 mi
Internal Medicine
NPI 1053328955
880 W MAIN ST
Booneville, AR 72927
(479) 675-2800
✔ PECOS✔ Accepts Medicare18 mi
Emergency Medicine
NPI 1922208768
880 W MAIN ST
Booneville, AR 72927
(479) 675-2800
✔ PECOS18 mi
Internal Medicine
NPI 1538187190
7301 ROGERS AVE
Fort Smith, AR 72903
(479) 314-5175
✔ PECOS✔ Accepts Medicare21 mi
Internal Medicine
NPI 1033452990
7301 ROGERS AVE
Fort Smith, AR 72903
(501) 593-3845
✔ PECOS✔ Accepts Medicare21 mi
Cardiovascular Disease (Cardiology)
NPI 1124015243
7001 ROGERS AVE STE 401A
Fort Smith, AR 72903
(479) 314-4650
✔ PECOS✔ Accepts Medicare21 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1346342888
2301 S 56TH ST STE 110
Fort Smith, AR 72903
(479) 452-1581
✔ Accepts Medicare22 mi
Cardiovascular Disease (Cardiology)
NPI 1043253511
1500 DODSON AVE STE 60
Fort Smith, AR 72901
(479) 709-7325
✔ PECOS✔ Accepts Medicare23 mi
Pain Management
NPI 1972582260
708 LEXINGTON AVE
Fort Smith, AR 72901
(479) 226-3132
✔ PECOS24 mi
See all 136 clinicians

Source: 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 04D0881080

Mercy Family Medicine Mansfield · Mansfield, AR
Active · expires Jul 12, 2028
CLIA Number04D0881080
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorDr. Elizabeth Hutson
Laboratory Phone(479) 928-4404
Laboratory LocationMercy Family Medicine Mansfield100 North Walnut, Suite A, Mansfield, AR 72944
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Waldron's NPI number?

The NPI number for Mercy Hospital Waldron is 1295774917. It was assigned to this organization in the NPPES registry on June 6, 2006. The provider is also known as Mercy Family Medicine - Mansfield.

Where is Mercy Hospital Waldron located?

Mercy Hospital Waldron is located at 100 N Walnut Ave Ste A, Mansfield, AR 72944. The listed phone number is (479) 928-4404.

What is Mercy Hospital Waldron's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Mercy Hospital Waldron enrolled in Medicare?

Yes. Mercy Hospital Waldron is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mercy Hospital Waldron?

According to the CMS Revalidation Reassignment List (October 2026 release), 136 clinicians in 10 Medicare specialties reassign their Medicare billing to Mercy Hospital Waldron. 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 (56), Emergency Medicine (33) and Nurse Practitioner (28). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mercy Hospital Waldron hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0881080) is associated with this NPI, valid through July 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mercy Hospital Waldron accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Mercy Hospital Waldron 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 Waldron was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.