Mercy Clinic East Communities

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MERCY CLINIC EAST COMMUNITIES

Practice address

16555 Manchester Rd Ste 110
Wildwood, MO 63040-1220

Phone

(636) 405-3155

Fax

(636) 405-3162

NPI assigned

Sep 6, 2013

Last updated

Apr 25, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

MERCY HEALTH EAST COMMUNITIESAs reported in NPPES

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

Authorized official

Name

Kerry Dunger

Title

Executive Director - Finance

Phone

(314) 364-3707

Specialties & licenses 1

Addresses

Other names 1

• Mercy Clinic Convenient Care Other name

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mercy Clinic East Communities

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1043574940

  O20070521000006, O20070521000058

  Same enrollment
• Mercy Clinic East Communities

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1073739041

  O20070521000058

  Same enrollment
• Mercy Clinic East Communities

  • Rural Health Clinic/Center
  • Bourbon, MO
  • NPI 1235493776

  O20070521000058

  Same enrollment
• Mercy Clinic East Communities

  • Rural Health Clinic/Center
  • Cuba, MO
  • NPI 1285998724

  O20070521000058

  Same enrollment
• Mercy Clinic East Communities

  • Rural Health Clinic/Center
  • Sullivan, MO
  • NPI 1467716928

  O20070521000058

  Same enrollment
• Mercy Clinic East Communities

  • Endocrinology, Diabetes & Metabolism Physician
  • Ballwin, MO
  • NPI 1700370061

  O20070521000006

  Same enrollment
• Mercy Clinic East Communities

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1720635329

  O20070521000006, O20070521000058

  Same enrollment
• Mercy Clinic East Communities

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1851335228

  O20070521000006, O20070521000058

  Same enrollment

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

CLIA laboratory certificates

Locations

Practitioners 141

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.

• Christopher S Abercrombie, DO

  • Family Medicine Physician
  • Arnold, MO
  • NPI 1093787558
  NPD
• Erin S Adams, RN, APRN, CPNP

  • Pediatric Nurse Practitioner
  • O'Fallon, MO
  • NPI 1912232786
  NPD
• Kelly J Bain, M.D.

  • Family Medicine Physician
  • Washington, MO
  • NPI 1982645818
  NPD
• Claire Bartusch, PA

  • Physician Assistant
  • Eureka, MO
  • NPI 1386358042
  NPD
• Christie A Bayer, MD

  • Pediatrics Physician
  • Wildwood, MO
  • NPI 1265405948
  NPD
• Matthew A Beckerdite, MD

  • Family Medicine Physician
  • O'Fallon, MO
  • NPI 1821062266
  NPD
• Shafia M Bhutto, M.D.

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
  • NPI 1982807335
  NPD
• Barbara L Blaue, WHNP

  • Women's Health Nurse Practitioner
  • Sullivan, MO
  • NPI 1417169855
  NPD
• Spencer Blondeaux

  • Physician Assistant
  • Bridgeton, MO
  • NPI 1114645249
  NPD
• Monica Lynn Board, RN, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
  • NPI 1437409992
  NPD
• Craig W Boyd, MD

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
  • NPI 1821171927
  NPD
• David M Brown, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1538133046
  NPD

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1164857397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16555 MANCHESTER RD STE 110",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401220",
            "telephone_number": "636-405-3155",
            "fax_number": "636-405-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16555 MANCHESTER RD STE 110",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401220",
            "telephone_number": "636-405-3155",
            "fax_number": "636-405-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Patients First Dr Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MO",
            "postal_code": "630904700",
            "country_code": "US",
            "telephone_number": "636-390-1777",
            "fax_number": "636-390-1778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4525 Mid Rivers Mall Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "Cottleville",
            "state": "MO",
            "postal_code": "633762820",
            "country_code": "US",
            "telephone_number": "636-229-3350",
            "fax_number": "636-229-3355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY CLINIC EAST COMMUNITIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH EAST COMMUNITIES",
        "enumeration_date": "2013-09-06",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "DUNGER",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR - FINANCE",
        "authorized_official_telephone_number": "314-364-3707"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Clinic Convenient Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julie Kathleen McDonald, CCC-SLP
• Jennifer McDonnell, MA
• Kayla McWilliams
• Lauren Alison Medina, DC
• Jacquelyn M Mellis, LCSW
• Mercy Pharmacy Services LLC
• Metro West Fire Protection District of St Louis City (Metro West Fire Protection District)
• Edmond James Meyer, BSN, RN, AE-C
• Michael L Masucci DC LLC
• Midwest Counseling & Consulting, LLC

• Multi-Specialty Clinic/Center in Wildwood, MO
• Providers in Wildwood, MO by specialty
• Multi-Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.