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MERCY CLINIC FAMILY MEDICINE - ROLLA
NPI 1811028723
Clinic/Center - Rural Health in Rolla, MO

Active since March 09, 2007CLIA 26D0446860 · Waiver
1605 MARTIN SPRINGS DR STE 210, ROLLA, MO 65401(573) 458-6350(573) 458-6764 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2018, Jun 11, 2018, Feb 2, 2017 (3 updates tracked since 2017).

About Mercy Clinic Family Medicine - Rolla NPPES

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

MERCY CLINIC FAMILY MEDICINE - ROLLA (NPI 1811028723) is a healthcare organization registered as a rural health in Rolla, Missouri and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through October 31, 2026 and lists Robert Cavagnol, Chief Physician Officer, as its authorized official.

NPPES Registry Identity

NPI1811028723
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMERCY CLINIC-SPRINGFIELD COMMUNITIES
Location Address1605 MARTIN SPRINGS DR STE 210Rolla, MO 65401-3028
Mailing Address645 Maryville Centre Dr Fl 3Saint Louis, MO 63141-5855 · (417) 820-7133 · Fax (417) 820-0586
Phone(573) 458-6350
Fax(573) 458-6764
Organization SubpartNo
Authorized OfficialRobert CavagnolChief Physician Officer · (417) 820-2705
Enumeration DateMarch 9, 2007
Last NPPES UpdateDecember 4, 20183 updates tracked since enumeration
✔ NPI 1811028723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X · License R5474 (MO)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 064070 (MO)
1605 MARTIN SPRINGS DR STE 210, Rolla, MO 65401
Open in Google Maps ↗

Other Names 1

Doing Business AsMercy Clinic Family Medicine - Rolla

Other Identifiers 1

Medicaid595684804MO

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0446860

Mercy Clinic Family Medicine-Rolla · Rolla, MO
Active · expires Oct 31, 2026
CLIA Number26D0446860
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorMichelle Daniels
Laboratory Phone(573) 458-6726
Laboratory LocationMercy Clinic Family Medicine-Rolla1605 Martin Springs Drive Ste 210 230, Rolla, MO 65401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLA ASHLEY HOBSON FNP
Nurse Practitioner (Family)
1605 MARTIN SPRINGS DR STE 210
ROLLA, MO 65401
Phelps County (573) 458-6350
WILLIAM MARK BARNETT M.D.
Family Medicine
1605 MARTIN SPRINGS DR STE 210
ROLLA, MO 65401
Phelps County (573) 458-6326

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 1811028723. It was assigned to this organization in the NPPES registry on March 9, 2007. The provider is doing business as Mercy Clinic Family Medicine - Rolla.

Where is Mercy Clinic-Springfield Communities located?

Mercy Clinic-Springfield Communities is located at 1605 Martin Springs Dr Ste 210, Rolla, MO 65401. The listed phone number is (573) 458-6350.

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.

Does Mercy Clinic-Springfield Communities hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0446860) is associated with this NPI, valid through October 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mercy Clinic-Springfield Communities accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 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 December 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.