MANSFIELD CLINIC, INC.
NPI 1811036791
Clinic/Center - Rural Health in Mansfield, MO

Active since February 06, 2007
304 WEST COMMERCIAL STREET, MANSFIELD, MO 65704(417) 924-3066(417) 924-3925 Get Directions Write a Review

NPPES record last updated: April 3, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mansfield Clinic, Inc. NPPES

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

MANSFIELD CLINIC, INC. (NPI 1811036791) is a healthcare organization registered as a rural health in Mansfield, Missouri and active in the NPI registry since February 2007. The organization lists Kenneth Dugan, Vice President, as its authorized official.

NPPES Registry Identity

NPI1811036791
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMANSFIELD CLINIC, INC.
Location Address304 WEST COMMERCIAL STREETMansfield, MO 65704
Mailing AddressPo Box 108Mansfield, MO 65704-0108 · (417) 924-3066 · Fax (417) 924-3925
Fax(417) 924-3925
Organization SubpartNo
Authorized OfficialKenneth DuganVice President · (417) 924-3066
Enumeration DateFebruary 6, 2007
Last NPPES UpdateApril 3, 2012
✔ NPI 1811036791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
304 WEST COMMERCIAL STREET, Mansfield, MO 65704

Other Identifiers 3

Medicaid596020602MO
Other263940MO · Riverbend Gba
Medicare ID-Type Unspecified000013886MO

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)

Mansfield Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Mansfield Clinic, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Family Practice
NPI 1528156080
304 W. COMMERCIAL
Mansfield, MO 65704
(417) 924-3066
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316833940
304 W COMMERCIAL ST
Mansfield, MO 65704
(417) 924-3066
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1083555999
120 W LINCOLN AVE
Ava, MO 65608
(417) 683-6790
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1427397769
120 W LINCOLN AVE
Ava, MO 65608
(417) 683-6790
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1285361048
474 HUDSON AVE
Republic, MO 65738
(417) 619-1128
✔ PECOS✔ Accepts Medicare50 mi

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 Mansfield Clinic, Inc.'s NPI number?

The NPI number for Mansfield Clinic, Inc. is 1811036791. It was assigned to this organization in the NPPES registry on February 6, 2007.

Where is Mansfield Clinic, Inc. located?

Mansfield Clinic, Inc. is located at 304 West Commercial Street, Mansfield, MO 65704. The listed phone number is (417) 924-3066.

What is Mansfield Clinic, Inc.'s specialty?

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

Is Mansfield Clinic, Inc. enrolled in Medicare?

Yes. Mansfield Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mansfield Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Mansfield Clinic, Inc.. 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 (4) and Family Practice (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mansfield Clinic, Inc. 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 3 other insurers list Mansfield Clinic, Inc. 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 Mansfield Clinic, Inc. was last updated on April 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.