SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC
NPI 1679041040
Clinic/Center - Rural Health in Sikeston, MO
About Southeast Health Center Of Stoddard County Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC (NPI 1679041040), doing business as Mercy Hospital Stoddard, is a healthcare organization registered as a rural health in Sikeston, Missouri and active in the NPI registry since November 2018. The organization lists Krista Berry, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Southeast Health Center Of Stoddard County Llc 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 Southeast Health Center Of Stoddard County LLC, which bills Medicare for the services they deliver. Of these, 3 practice 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 1679041040. It was assigned to this organization in the NPPES registry on November 5, 2018. 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 522 Virginia St, Sikeston, MO 63801. The listed phone number is (573) 624-1901.
What is Southeast Health Center Of Stoddard County LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
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, 3 practice 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 September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Southeast Health Center Of Stoddard County Llc · NPI 1679041040
Rural Health organization in Sikeston, Missouri. Organization record, active in the CMS NPPES registry since November 5, 2018.
## Identity
- **NPI:** 1679041040 (Entity type: Organization)
- **Enumerated:** November 5, 2018
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** MERCY HOSPITAL STODDARD (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Krista Berry, CFO
## Practice location
- **Address:** 522 VIRGINIA ST, Sikeston, MO 63801-5812
- **Phone:** (573) 624-1901
## 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); 3 practice within 10 miles; [full list](https://npiprofile.com/npi/1679041040/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1679041040) · Data from the CMS NPPES public registry.