Mansfield Clinic Inc
A Medicare group practice based in Mansfield, MO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3971413360), with 10 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3971413360
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MO
- Enrollments
- 3
- Group size
- 8 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20030526000000 | MO | Part A Provider - Rural Health Clinic | 1811036791 |
| O20060914000104 | MO | Part A Provider - Rural Health Clinic | 1285687509 |
| O20050301000552 | MO | Part B Supplier - Clinic/Group Practice | 1811036791 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Mansfield Clinic, Inc.
- Rural Health Clinic/Center
- Mansfield, MO
- NPI 1811036791
Practice locations
- Ava, MO2
- Mansfield, MO2
Clinicians 10
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (8).
-
Peggy S Cargin, NP
- Nurse Practitioner
- Fordland, MO
- NPI 1386603280
-
Jacqueline Victoria Dugan, PA-C
- Physician Assistant
- Ava, MO
- NPI 1063124956
-
Kenneth H Dugan, M.D.
- Family Medicine Physician
- Mansfield, MO
- NPI 1528156080
-
Craig Brian Eden, FNP-BC
- Family Nurse Practitioner
- Republic, MO
- NPI 1285361048
-
Robert W Hockman, MD
- Hospitalist Physician
- Branson, MO
- NPI 1447341292
-
Rebecca L Johnson, APN
- Family Nurse Practitioner
- Ava, MO
- NPI 1427397769
-
April Dawn Kimball, FNP
- Family Nurse Practitioner
- Ava, MO
- NPI 1083555999
-
Sara Melvin, FNP-C
- Family Nurse Practitioner
- Mansfield, MO
- NPI 1316833940
-
Mark Kevin Peebles, PA-C
- Physician Assistant
- Pocahontas, IA
- NPI 1275743841
-
Deann Lois Thompson
- Nurse Practitioner
- Ava, MO
- NPI 1508039769
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.