MERCY CLINIC PEDIATRICS- LEBANON
NPI 1770612590
Clinic/Center - Rural Health in Lebanon, MO

Active since March 05, 2007
120 HOSPITAL DR STE 350, LEBANON, MO 65536(417) 533-6746(417) 533-6740 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2020, Oct 5, 2020, Dec 4, 2018 and 1 more (4 updates tracked since 2018).

About Mercy Clinic Pediatrics- Lebanon NPPES

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

MERCY CLINIC PEDIATRICS- LEBANON (NPI 1770612590) is a healthcare organization registered as a rural health in Lebanon, Missouri and active in the NPI registry since March 2007. The organization lists William Roberts, Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1770612590
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMERCY CLINIC SPRINGFIELD COMMUNITIES
Location Address120 HOSPITAL DR STE 350Lebanon, MO 65536-9253
Mailing Address1570 W Battlefield St Ste 110Springfield, MO 65807-4163 · (417) 820-7133 · Fax (417) 820-0586
Fax(417) 533-6740
Organization SubpartNo
Authorized OfficialWilliam RobertsVice President Finance · (417) 820-7363
Enumeration DateMarch 5, 2007
Last NPPES UpdateOctober 14, 20204 updates tracked since enumeration
NPPES CertifiedOctober 14, 2020
✔ NPI 1770612590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 123516 (MO)
120 HOSPITAL DR STE 350, Lebanon, MO 65536

Other Names 1

Doing Business AsMercy Clinic Pediatrics- Lebanon

Other Identifiers 1

Medicaid597785609MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Pediatrics- Lebanon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,480

Medicare enrollment records show 1,480 clinicians reassign Medicare billing to Mercy Clinic Pediatrics- Lebanon, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 36 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 61

Nurse Practitioner410
Certified Registered Nurse Anesthetist (CRNA)150
Family Practice129
Emergency Medicine93
Internal Medicine92
Pediatric Medicine76
Obstetrics/Gynecology62
Hospitalist45
53 other specialties423

Nearest to this location (20)

See all 1,480
Certified Registered Nurse Anesthetist (CRNA)
NPI 1760841571
120 HOSPITAL DR
Lebanon, MO 65536
(417) 533-6100
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124403944
120 HOSPITAL DR SUITE 300
Lebanon, MO 65536
(417) 533-6746
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1871975896
120 HOSPITAL DR STE 200
Lebanon, MO 65536
(417) 533-6780
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1043410392
120 HOSPITAL DR STE 225
Lebanon, MO 65536
(417) 533-6710
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1851555312
120 HOSPITAL DR STE 100
Lebanon, MO 65536
(417) 533-6751
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1790230704
120 HOSPITAL DR STE 350
Lebanon, MO 65536
(417) 533-6729
✔ PECOSSame address
Clinical Psychologist
NPI 1063784411
120 HOSPITAL DR SUITE 100
Lebanon, MO 65536
(417) 820-3128
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1629149190
120 HOSPITAL DR SUITE 225
Lebanon, MO 65536
(417) 533-6710
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1134595952
120 HOSPITAL DR
Lebanon, MO 65536
(417) 533-6100
✔ Accepts MedicareSame address
Family Practice
NPI 1881257343
120 HOSPITAL DR STE 100
Lebanon, MO 65536
(417) 533-6751
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1336783265
120 HOSPITAL DR STE 250
Lebanon, MO 65536
(417) 533-6717
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1467530303
120 HOSPITAL DR SUITE 100
Lebanon, MO 65536
(417) 533-6751
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1013228071
120 HOSPITAL DR STE 100
Lebanon, MO 65536
(417) 533-6751
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1265449755
120 HOSPITAL DR SUITE 200
Lebanon, MO 65536
(417) 533-6780
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1487732368
120 HOSPITAL DR SUITE 100
Lebanon, MO 65536
(417) 533-6751
✔ PECOSSame address
Emergency Medicine
NPI 1912951856
100 HOSPITAL DR
Lebanon, MO 65536
(417) 533-6100
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1548725013
100 HOSPITAL DR
Lebanon, MO 65536
(417) 533-6100
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1710334610
100 HOSPITAL DR
Lebanon, MO 65536
(417) 841-5108
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1396803565
100 HOSPITAL DR
Lebanon, MO 65536
(417) 533-6026
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1205321171
100 HOSPITAL DR
Lebanon, MO 65536
(417) 533-6100
✔ PECOS✔ Accepts MedicareSame address
See all 1,480 clinicians

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 Mercy Clinic Springfield Communities's NPI number?

The NPI number for Mercy Clinic Springfield Communities is 1770612590. It was assigned to this organization in the NPPES registry on March 5, 2007. The provider is doing business as Mercy Clinic Pediatrics- Lebanon.

Where is Mercy Clinic Springfield Communities located?

Mercy Clinic Springfield Communities is located at 120 Hospital Dr Ste 350, Lebanon, MO 65536. The listed phone number is (417) 533-6746.

What is Mercy Clinic Springfield Communities's specialty?

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

Is Mercy Clinic Springfield Communities enrolled in Medicare?

Yes. Mercy Clinic Springfield Communities is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mercy Clinic Springfield Communities?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,480 clinicians in 61 Medicare specialties reassign their Medicare billing to Mercy Clinic Springfield 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 (410), Certified Registered Nurse Anesthetist (CRNA) (150) and Family Practice (129). Of these, 16 practice at this address and 36 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mercy Clinic Springfield 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 Springfield 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 Springfield Communities was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.