Mercy Clinic Springfield Communities
Organization Active NPI Rural Health Clinic/Center · Mountain View, MO
NPI 1003946732 · NPPES record last updated Oct 14, 2025
Key facts
- NPI
- 1003946732
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- MERCY CLINIC SPRINGFIELD COMMUNITIES
- Practice address
- 104 East Highway 60
Mountain View, MO 65548 - Phone
- (417) 934-2251
- Fax
- (417) 934-2871
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
Authorized official
- Name
- William Roberts
- Title
- Cfo
- Phone
- (417) 820-7363
Owners & managing parties with NPI records 13
-
William Mark Barnett, M.D.
-
Jason A. Glenn, P.A.
-
Mark Vincent Griesemer, D.O.
-
Jon A. Reese, MD
-
Jessica Nicole Snider, D.O.
-
Dustin Ryan Tompkins, D.O.
-
Mark John Van Ess, D.O.
-
Angie J Whitesell, M.D.
Other NPIs on the same Medicare enrollment 29
Facilities with the same owner 115
Practitioners 160
-
Laith Abushanab, MD
-
Yaqoob Ali, M.D.
-
Michel Anderson, FNP
-
Jacob Lee Baalman, M.D.
-
Cody Allen Baker, MD
-
William Mark Barnett, M.D.
-
Courtney Elizabeth Beard, M.D.
-
Katherine Becker, NP
-
Robert J Belk, MD
-
Travis James Bell, PA-C
-
Jason Box, AUD
-
Jonathan D Brady, AA
-
Tanya L Brewer, CRNA
-
Billy Brown, PA-C
-
John T Brunts, MD
-
Dawn Michelle Buchanan, RN, MSN, NP-C
-
Casie Canning, DNAP, CRNA
-
Sarah N. Cates, FNP
-
Dana L. Clawson, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
Rural health clinic certification: CCN 263819
- Legal name
- MERCY CLINIC SPRINGFIELD COMMUNITIES
- Doing business as
- MERCY CLINIC FAMILY MEDICINE-MOUNTAIN VIEW
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Sep 1, 1993
- Last certification
- Dec 1, 2020
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 1, 2000 in MO
- Enrollment address
- 104 E US Highway 60
Mountain View, MO 65548-7381
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Angie J Whitesell |
Corporate Director | Jul 1, 2019 | |
| Jessica N Snider |
Corporate Director |
Jul 1, 2018 | |
| Jon a Reese |
Corporate Director |
Jul 1, 2021 | |
| William Mark Barnett |
Corporate Director |
May 15, 2018 | |
| Mark V Griesemer |
Corporate Director |
Jul 1, 2020 | |
| Cheryl L Matejka |
Operational/Managerial Control |
Jul 1, 2021 | |
| Mercy Health Springfield Communities |
5% Or Greater Direct Ownership Interest | Oct 1, 2010 | 100% |
| Dale E Haverstick |
Corporate Director |
Jul 1, 2021 | |
| Christie Eckhardt |
Corporate Officer |
Jul 1, 2021 | |
| Robert B Wyrsch |
Corporate Officer |
Mar 1, 2021 | |
| A Daniel Pinheiro |
Corporate Director |
Nov 19, 2019 | |
| Stacie Farnam |
W-2 Managing Employee | Jan 1, 2021 | |
| Mercy Health |
5% Or Greater Indirect Ownership Interest | Oct 2, 2010 | 100% |
| William J Roberts |
Corporate Director | May 20, 2020 | |
| W-2 Managing Employee | May 20, 2020 | ||
| Dustin R Tompkins |
Corporate Director |
Jul 1, 2020 | |
| Mark J Van Ess |
Corporate Officer |
Jul 1, 2020 | |
| Barbara a Bumberry |
Corporate Director |
Jul 1, 2020 | |
| Bala Sudhakar Reddy Allam |
Corporate Director |
Jul 1, 2018 | |
| David G Argueta |
Corporate Officer |
Jun 1, 2022 | |
| Jason a Glenn |
Corporate Director |
Jul 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031218000354 | MO | Part B Supplier - Clinic/Group Practice | 7416865845 |
Receives reassigned benefits from 1,639 practitioners 29 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20101202000475 | MO | Part a Provider - Rural Health Clinic | 7416865845 | Practice locations: Mountain View, MO |
National Provider Directory
Networks
- devoted network organization-4d06b5ed-aefa-4033-b81c-2adf126fd114
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | R7838 | MO | |
| Rural Health Clinic/Center | 261QR1300X | MO | Yes | |
| Physician Assistant |
363A00000X | 112033 | MO | |
| Family Nurse Practitioner |
363LF0000X | 099760 | MO |
Addresses
Primary practice location
104 East Highway 60
Mountain View, MO 65548
Mailing address
104 E US Highway 60
Mountain View, MO 65548-7381
Phone (417) 934-2251
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 592365415 | Medicaid | MO |
Other names
- Mercy Clinic Family Medicine-Mountain View
Other providers in Mountain View, MO
- Laurica Marriott
- Devan Martin
- Kelly McDonald
- Skylar D McKee
- Michael Dave McVicker Sr.
- Mercy Hospital Springfield
- Mercy Hospital Springfield
- Mercy Hospital Springfield
- Mercy St Francis Hospital
- Mercy St. Francis Hospital
All providers in Mountain View, MO · Rural Health Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.