Organization Active NPI

Mercy Aco Clinical Services Inc

  • Neurology Physician
  • Chesterfield, MO
National Provider Identifier
1063965093
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
MERCY ACO CLINICAL SERVICES INC
Practice address
15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Phone
(636) 237-4200
NPI assigned
Jul 26, 2016
Last updated
May 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Bridget Cafazza
Title
VP -Value Forcasting & Rev Analysis
Phone
(636) 237-4151

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X

Addresses

Primary practice location

15740 S Outer 40 Rd
Chesterfield, MO 63017-2004

Mailing address

15740 S Outer 40 Rd
Chesterfield, MO 63017-2004

Other names 1

  • Mercy Virtual Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OK, AR, IL, TX, IA, FL, VA, NV, NC, KS, TN, OH, AZ14 enrollments

Enrollment records 14

Enrollment IDStateProvider typePAC IDDetails
O20170117001888 MO Part B Supplier - Clinic/Group Practice 6901188572 Receives reassigned benefits from 268 practitioners
O20170203000038 OK Part B Supplier - Clinic/Group Practice 6901188572 Receives reassigned benefits from 2 practitioners
Practice locations: Oklahoma City, OK
O20170203000192 AR Part B Supplier - Clinic/Group Practice 6901188572 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Smith, AR
O20201015002388 IL Part B Supplier - Clinic/Group Practice 6901188572 Receives reassigned benefits from 7 practitioners
Practice locations: Champaign, IL; Chicago, IL; Naperville, IL; Shiloh, IL; Troy, IL
O20201116002529 TX Part B Supplier - Clinic/Group Practice 6901188572 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX; Fulshear, TX; Cypress, TX
O20211208002369 IA Part B Supplier - Clinic/Group Practice 6901188572 Practice locations: Grimes, IA
O20220112001824 FL Part B Supplier - Clinic/Group Practice 6901188572 Receives reassigned benefits from 2 practitioners
Practice locations: Orlando, FL; Weston, FL
O20221214000388 VA Part B Supplier - Clinic/Group Practice 6901188572 Receives reassigned benefits from 1 practitioner
Practice locations: Henrico, VA
O20240314001568 NV Part B Supplier - Clinic/Group Practice 6901188572 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV
O20240329000253 NC Part B Supplier - Clinic/Group Practice 6901188572 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC
O20240401000190 KS Part B Supplier - Clinic/Group Practice 6901188572 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS
O20240405000893 TN Part B Supplier - Clinic/Group Practice 6901188572 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN
O20240409000405 OH Part B Supplier - Clinic/Group Practice 6901188572 Practice locations: Dublin, OH
O20260113003123 AZ Part B Supplier - Clinic/Group Practice 6901188572 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2174805Mercy Virtual Care Center15740 South Outer Forty Rd, Chesterfield, MO 63017ComplianceJun 20, 2027

National Provider Directory

National Provider Directory

Locations

7301 Rogers Ave
Ste C506
Fort Smith, AR 72903
Phone (479) 314-5175

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

625 S New Ballas Rd
Ste 7055
Saint Louis, MO 63141
Phone (636) 735-4205

701 S New Ballas Rd
Ste 150
Saint Louis, MO 63141
Phone (636) 237-4025

1407 Saint Louis St
Springfield, MO 65802
Phone (417) 820-5454

Practitioners & affiliated clinicians

Practitioners 292

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 292

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1063965093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15740 S OUTER 40 RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15740 S OUTER 40 RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172004",
            "telephone_number": "636-237-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY ACO CLINICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "CAFAZZA",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "VP -VALUE FORCASTING & REV ANALYSIS",
        "authorized_official_telephone_number": "636-237-4151"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Virtual",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mercy Virtual",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.