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

Active since March 09, 2007
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: October 25, 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 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
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

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

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 Family Medicine - Rolla 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 Family Medicine - Rolla, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 28 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
Hematology/Oncology
NPI 1477582799
1605 MARTIN SPRINGS DR SUITE 150
Rolla, MO 65401
(573) 458-6379
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1831556455
1605 MARTIN SPRINGS DR STE 250
Rolla, MO 65401
(573) 458-6363
✔ PECOSSame address
Family Practice
NPI 1982990214
1605 MARTIN SPRINGS DR STE 210
Rolla, MO 65401
(573) 458-6326
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114675501
1605 MARTIN SPRINGS DR STE 230
Rolla, MO 65401
(573) 458-6326
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1720347867
1605 MARTIN SPRINGS DR STE 210
Rolla, MO 65401
(573) 458-6326
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1205585379
1605 MARTIN SPRINGS DR
Rolla, MO 65401
(573) 458-6326
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356042964
1605 MARTIN SPRINGS DR STE 210
Rolla, MO 65401
(573) 458-6350
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1922238765
1605 MARTIN SPRINGS DR STE 240 A
Rolla, MO 65401
(573) 458-6310
✔ PECOSSame address
Nurse Practitioner
NPI 1629672555
1605 MARTIN SPRINGS DR STE 250
Rolla, MO 65401
(573) 458-6363
✔ PECOSSame address
Family Practice
NPI 1447802681
1605 MARTIN SPRINGS DR STE 230
Rolla, MO 65401
(573) 458-6326
✔ PECOSSame address
Nurse Practitioner
NPI 1952122822
1605 MARTIN SPRINGS DR
Rolla, MO 65401
(573) 458-6326
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1366510448
1605 MARTIN SPRINGS DR
Rolla, MO 65401
(417) 533-6010
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548929797
1605 MARTIN SPRINGS DR STE 230
Rolla, MO 65401
(573) 458-6326
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1811472822
1605 MARTIN SPRINGS DR STE 230
Rolla, MO 65401
(573) 458-6350
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1710505557
1605 MARTIN SPRINGS DR
Rolla, MO 65401
(573) 458-6326
✔ PECOS✔ Accepts MedicareSame address
Sleep Medicine
NPI 1396940201
1605 MARTIN SPRINGS DR SUITE 360B
Rolla, MO 65401
(573) 458-6380
✔ PECOS✔ Accepts MedicareSame address
Sports Medicine
NPI 1083096671
1605 MARTIN SPRINGS DR STE 330
Rolla, MO 65401
(573) 458-6370
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1811678139
1605 MARTIN SPRINGS DR STE 230
Rolla, MO 65401
(573) 458-6326
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1912616277
600 BLUES LAKE PKWY
Rolla, MO 65401
(573) 364-8822
✔ PECOS✔ Accepts Medicare0.3 mi
Pediatric Medicine
NPI 1942347190
1100 W 10TH ST SUITE 175
Rolla, MO 65401
(573) 341-9163
✔ PECOS0.9 mi
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.

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
Expired · 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.

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.

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 28 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 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.