Organization Active NPI

Mercy Hospital Aurora

  • Medicare Defined Swing Bed Hospital Unit
  • Aurora, MO
National Provider Identifier
1295878981
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
MERCY HOSPITAL AURORA
Doing business as
Mercy Hospital Aurora
Practice address
500 Porter Ave
Aurora, MO 65605
Phone
(417) 678-2122
Fax
(417) 678-7841
NPI assigned
Feb 14, 2007
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Sherry Lynn Clouse Day
Title
Vice President Finance
Phone
(417) 820-8439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary

Addresses

Primary practice location

500 Porter Ave
Aurora, MO 65605

Mailing address

500 Porter Ave
Aurora, MO 65605-2365
Phone (417) 678-2122

Other names 1

  • Mercy Hospital Aurora Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100210000218 MO Part A Provider - Critical Access Hospital 9436063211 Practice locations: Aurora, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295878981. Details of each certification follow.

Hospital certification: CCN 26Z316

Legal name
MERCY HOSPITAL AURORA
Doing business as
MERCY HOSPITAL AURORA
Organization structure
CorporationNon-profit
Enrollment address
500 Porter Ave
Aurora, MO 65605-2365

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).

National Provider Directory

National Provider Directory
Tax ID family
Mercy Hospital Aurora4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1319 S Landrum St
Ste D
Mount Vernon, MO 65712
Phone (417) 678-7887

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
Jamie Wilke Individual Corporate OfficerSecretary Jul 1, 2024
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 Dec 16, 2009 100%
Jaime Zengotita Individual Corporate DirectorBoard Member Jul 1, 2021
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 16, 2009 100%
Billy Redus Individual Corporate Director Jun 1, 2016
Valerie Davis Individual Corporate Director Nov 23, 2020
Traci Mitchell Individual Corporate DirectorBoard Member Jul 1, 2021
Earle W Shiveley Individual Corporate DirectorBoard Member Jul 1, 2022
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
Brian Day Individual Corporate OfficerSenior Vice President May 1, 2025

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 181

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 181

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1295878981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PORTER AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656052365",
            "telephone_number": "417-678-2122",
            "fax_number": "417-678-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PORTER AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "65605",
            "telephone_number": "417-678-2122",
            "fax_number": "417-678-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL AURORA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2025-09-02",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "CLOUSE DAY",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "417-820-8439"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Hospital Aurora",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, MO

Sources for this page

Verify at the official NPI Registry.