NPIMap

Organization Active NPI

Mercy Hospital Cassville

  • Critical Access Hospital
  • Cassville, MO
National Provider Identifier
1285676932
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
MERCY HOSPITAL CASSVILLE
Doing business as
Mercy Hospital Cassville
Practice address
94 Main St
Cassville, MO 65625
Phone
(417) 847-6000
Fax
(417) 846-1845
NPI assigned
Jun 10, 2006
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Sherry Clouse Day
Title
VP-Finance Mercy Cah
Phone
(417) 824-0795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

94 Main St
Cassville, MO 65625

Mailing address

94 Main St
Cassville, MO 65625-1610

Other names 1

  • Mercy Hospital Cassville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040120000164 MO Part B Supplier - Clinic/Group Practice 8820999139 Receives reassigned benefits from 165 practitioners
Practice locations: Cassville, MO
O20100118000033 MO Part A Provider - Critical Access Hospital 8820999139 Receives reassigned benefits from 158 practitioners
Practice locations: Cassville, MO; Shell Knob, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285676932. Details of each certification follow.

Hospital certification: CCN 261317

Legal name
MERCY HOSPITAL CASSVILLE
Doing business as
MERCY HOSPITAL CASSVILLE
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
May 13, 2004
Last certification
Sep 25, 2008
Beds
18
Ownership / control type
Church
Organization structure
CorporationNon-profit
Enrollment address
94 Main St
Cassville, MO 65625-1610
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Mercy Hospital - CassvilleCCN 261317 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cabrini Koelsch Individual Corporate Director Feb 1, 2012
John Lee Individual Corporate OfficerVice President Jul 1, 2021
Mercy Health Springfield Communities Organization, Springfield, MO Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 2, 2012 100%
Jaime Zengotita Individual Corporate DirectorBoard Member Jul 1, 2021
Denise Scoffic Individual Corporate OfficerSVP Jan 1, 2026
Stacie Farnam Individual W-2 Managing EmployeeDirector Jan 1, 2021
Mercy Health Organization, Chesterfield, MO Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Dec 15, 2009 100%
Billy Redus Individual Corporate Director Jul 1, 2016
Jennifer Brown Individual Corporate OfficerSecretary Jan 1, 2026
Valerie Davis Individual Corporate DirectorAdministrator Nov 23, 2020
Traci Mitchell Individual Corporate DirectorBoard Member Jul 1, 2021
Earle W Shiveley Individual Corporate DirectorBoard Member Jul 1, 2021
Danielle Nichole Still Individual Corporate DirectorBoard Member Jul 1, 2020
Travis T Hawks Individual Corporate DirectorBoard Member Jul 1, 2018
Sherry Clouse Day Individual Corporate OfficerTreasurer May 20, 2020
W-2 Managing EmployeeVP Finance May 20, 2020

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 115

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 115

Practitioners & affiliated clinicians

Practitioners 187

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 187

Affiliated clinicians 117

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 117

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1285676932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 MAIN ST",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656251610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 MAIN ST",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "65625",
            "telephone_number": "417-847-6000",
            "fax_number": "417-846-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL CASSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "CLOUSE DAY",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "VP-FINANCE MERCY CAH",
        "authorized_official_telephone_number": "417-824-0795"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Hospital Cassville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Hospital Cassville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cassville, MO

Sources for this page

Verify at the official NPI Registry.