SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC
NPI 1790828812
Clinic/Center - Rural Health in Dexter, 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 1790828812), doing business as Mercy Hospital Stoddard, is a healthcare organization registered as a rural health in Dexter, Missouri and active in the NPI registry since February 2007. The organization lists Krista Berry, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
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, 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 1790828812. It was assigned to this organization in the NPPES registry on February 15, 2007. 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 Rd, Dexter, MO 63841. The listed phone number is (573) 624-7575.
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, 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 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 1790828812
Rural Health organization in Dexter, Missouri. Organization record, active in the CMS NPPES registry since February 15, 2007.
## Identity
- **NPI:** 1790828812 (Entity type: Organization)
- **Enumerated:** February 15, 2007
- **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:** 1200 N ONE MILE RD, Dexter, MO 63841-1000
- **Phone:** (573) 624-7575
## 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/1790828812/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2025
- **Other identifiers:** Medicaid 593964901 (MO); Other DC5315 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1790828812) · Data from the CMS NPPES public registry.