Individual provider Active NPI

Mary Ann Dimarsico, DO

  • Family Medicine Physician
  • Versailles, MO
National Provider Identifier
1013982818
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R2F10 Issued in MO
Practice address
1109 W Clay Rd
Versailles, MO 65084-1177
Phone
(877) 733-5824
Fax
(888) 979-8868
NPI assigned
Feb 23, 2006
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R2F10 MO Primary
Family Medicine Physician 207Q00000X DOR2F10 MO

Addresses

Primary practice location

1109 W Clay Rd
Versailles, MO 65084-1177

Mailing address

305 W Main St
Sedalia, MO 65301-3821
Phone (660) 310-0909

Other identifiers 5

IdentifierTypeStateIssuer
010053837OtherRR MEDICARE
242215747MedicaidMO
213038OtherHEALTHLINK
16847OtherBLUE CROSS BLUE SHIELD
876821OtherFIRST HEALTH

Other names 1

  • Mrs. Mary Ann Steinke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050822000942 MO Practitioner - Family PracticePractitioner - General Practice 5597796300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Health Care Clinic IncGroup PAC ID 8224926092, shared by 7 NPIs, 31 clinicians

Practice addresses (Care Compare)

1109 W Clay Rd
Versailles, MO 65084-1177
Phone (573) 378-2349

821 Westwood Dr
Sedalia, MO 65301-2102
Phone (660) 826-4774

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DOR2F10MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Care Clinic Inc CurrentSince Nov 1, 2011 Accepting new patients
Regional Health Care Clinic, Inc CurrentSince Nov 28, 2011 Accepting new patients
Regional Health Care Clinic, Inc CurrentSince Nov 1, 2011 Accepting new patients
Regional Health Care Clinic Inc Current Accepting new patients
Citizens for Health and Wellness Family Medicine Past Accepting new patients

Locations

305 W Main St
Sedalia, MO 65301
Phone (660) 310-0909

821 Westwood Dr
Sedalia, MO 65301

41569 Ivy Bend Rd
Stover, MO 65078
Phone (877) 733-5824

1109 W Clay Rd
Versailles, MO 65084
Phone (573) 378-2349

Interoperability endpoints

  • Direct secure messaging: dimarsico.mary.002.0250005@ktch.meditab.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1013982818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W MAIN ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653013821",
            "telephone_number": "660-310-0909",
            "fax_number": "888-979-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W CLAY RD",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "650841177",
            "telephone_number": "877-733-5824",
            "fax_number": "888-979-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMARSICO",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R2F10",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "DOR2F10",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "010053837",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242215747",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "213038",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "16847",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "876821",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "STEINKE",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Versailles, MO

Sources for this page

Verify at the official NPI Registry.