MERCY HOSPITAL STODDARD
NPI 1477997567
Family Medicine in Dexter, MO
About Mercy Hospital Stoddard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERCY HOSPITAL STODDARD (NPI 1477997567) is a healthcare organization registered as a family medicine in Dexter, Missouri and active in the NPI registry since April 2013. The organization lists Krista Berry, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 8
Other Names 1
Group Practice 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 Hospital Stoddard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
105Medicare enrollment records show 105 clinicians reassign Medicare billing to Mercy Hospital Stoddard, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 105Sikeston, MO 63801
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 Southeast Health Center Of Stoddard County LLC's NPI number?
The NPI number for Southeast Health Center Of Stoddard County LLC is 1477997567. It was assigned to this organization in the NPPES registry on April 19, 2013. The provider is doing business as Mercy Hospital Stoddard.
Where is Southeast Health Center Of Stoddard County LLC located?
Southeast Health Center Of Stoddard County LLC is located at 1200 N One Mile Road, Dexter, MO 63841. The listed phone number is (573) 614-1900.
What is Southeast Health Center Of Stoddard County LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Southeast Health Center Of Stoddard County LLC enrolled in Medicare?
Yes. Southeast Health Center Of Stoddard County LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeast Health Center Of Stoddard County LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 105 clinicians in 10 Medicare specialties reassign their Medicare billing to Southeast Health Center Of Stoddard County 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 Emergency Medicine (29), Nurse Practitioner (19) and Internal Medicine (17). Of these, 5 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southeast Health Center Of Stoddard County 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 Southeast Health Center Of Stoddard County 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 Southeast Health Center Of Stoddard County LLC was last updated on January 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mercy Hospital Stoddard · NPI 1477997567
Family Medicine organization in Dexter, Missouri. Organization record, active in the CMS NPPES registry since April 19, 2013.
## Identity
- **NPI:** 1477997567 (Entity type: Organization)
- **Enumerated:** April 19, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Southeast Health Center Of Stoddard County Llc
- **Organization subpart:** No
- **Authorized official:** Krista Berry, CFO
## Practice location
- **Address:** 1200 N ONE MILE ROAD, Dexter, MO 63841-1000
- **Phone:** (573) 614-1900 · **Fax:** (573) 624-8895
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 105 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (29), Nurse Practitioner (19), Internal Medicine (17); 5 practice at this address and 13 within 10 miles; [full list](https://npiprofile.com/npi/1477997567/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1477997567) · Data from the CMS NPPES public registry.