MERCY CLINIC SOUTHEAST
NPI 1558311522
Family Medicine in Cape Girardeau, MO
About Mercy Clinic Southeast NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERCY CLINIC SOUTHEAST (NPI 1558311522) is a healthcare organization registered as a family medicine in Cape Girardeau, Missouri and active in the NPI registry since May 2006. The organization lists Krista Berry, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
Other Names 1
Other Identifiers 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 Clinic Southeast is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
470Medicare enrollment records show 470 clinicians reassign Medicare billing to Mercy Clinic Southeast, which bills Medicare for the services they deliver. Of these, 57 practice at this address and 186 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 39
Nearest to this location (20)
See all 470Source: 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 Missouri Hospital Physicians, LLC's NPI number?
The NPI number for Southeast Missouri Hospital Physicians, LLC is 1558311522. It was assigned to this organization in the NPPES registry on May 11, 2006. The provider is doing business as Mercy Clinic Southeast.
Where is Southeast Missouri Hospital Physicians, LLC located?
Southeast Missouri Hospital Physicians, LLC is located at 1701 Lacey St, Cape Girardeau, MO 63701. The listed phone number is (573) 331-6880.
What is Southeast Missouri Hospital Physicians, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Southeast Missouri Hospital Physicians, LLC enrolled in Medicare?
Yes. Southeast Missouri Hospital Physicians, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeast Missouri Hospital Physicians, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 470 clinicians in 39 Medicare specialties reassign their Medicare billing to Southeast Missouri Hospital Physicians, 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 (94), Certified Registered Nurse Anesthetist (CRNA) (78) and Internal Medicine (45). Of these, 57 practice at this address and 186 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southeast Missouri Hospital Physicians, 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 Missouri Hospital Physicians, 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 Missouri Hospital Physicians, 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 Clinic Southeast · NPI 1558311522
Family Medicine organization in Cape Girardeau, Missouri. Organization record, active in the CMS NPPES registry since May 11, 2006.
## Identity
- **NPI:** 1558311522 (Entity type: Organization)
- **Enumerated:** May 11, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Southeast Missouri Hospital Physicians, Llc
- **Organization subpart:** No
- **Authorized official:** Krista Berry, CFO
## Practice location
- **Address:** 1701 LACEY ST, Cape Girardeau, MO 63701-5230
- **Phone:** (573) 331-6880 · **Fax:** (573) 331-6887
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 470 clinicians in 39 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (94), Certified Registered Nurse Anesthetist (CRNA) (78), Internal Medicine (45); 57 practice at this address and 186 within 10 miles; [full list](https://npiprofile.com/npi/1558311522/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 13, 2024
- **Other identifiers:** Medicaid 505394007 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1558311522) · Data from the CMS NPPES public registry.