Mercy Hospital Aurora
Organization Active NPI Critical Access Hospital · Aurora, MO
NPI 1467543090 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1467543090
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 1330 (MO)
- Legal business name
- MERCY HOSPITAL AURORA
- Practice address
- 500 Porter Ave
Aurora, MO 65605 - Phone
- (417) 678-2122
- Fax
- (417) 678-7877
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Sherry Lynn Clouse Day
- Title
- Vice President Finance
- Phone
- (417) 820-8439
Owners & managing parties with NPI records 2
-
Travis Tyler Hawks, M.D.
-
Jaime Zengotita, MD
Other NPIs with the same Medicare PAC ID 1
Related certifications (CCN) 1
Facilities with the same owner 115
Practitioners 211
-
Paul Berry Andelin, M.D.
-
Travis Tyler Hawks, M.D.
-
Benjamin Glen Leavitt, M.D.
-
Todd F Baker, MD
-
Kent Boydstun II, MD
-
Muhammad Al Sharif, D.O.
-
Blake Anderson, M.D.
-
Kayla Arthur, DO
-
Jacob Lee Baalman, M.D.
-
Conrad Mitchell Bajor, D.O.
-
Cody Allen Baker, MD
-
Sharad Bansal, MD
-
Courtney Elizabeth Beard, M.D.
-
Adam Harty Beckett, D.O.
-
Travis James Bell, PA-C
-
Harsh Bhartee, MD
-
Danielle Marie Bishop, D.O.
Affiliated clinicians 182
-
Muhammad Khalid Abbas, M.D.
-
Yvonne Marie Agius, M.D.
-
Muhammad Al Sharif, D.O.
-
Julie A Alford, MD
-
Amod Amritphale, MD
-
Paul Berry Andelin, M.D.
-
Jacob Lee Baalman, M.D.
-
Keesag A. Baron, M.D.
-
Joy Bell, NP
-
Amanda Bergman, MSN, FNP
-
Natalie A. Bieker, FNP
-
Bennett Adam Bolyard, D.O.
-
Kent Boydstun II, MD
-
Sheena R Brumfield, FNP
-
Justin Burks, FNP
-
Lori A. Call, FNP-C
-
Erin Elizabeth Casey, DNP
-
Jordan Chance, MD
Medicare Care Compare: Hospital
- Listed as
- Mercy Hospital Aurora
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Church
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
Hospital certification: CCN 261316
- Legal name
- MERCY HOSPITAL AURORA
- Doing business as
- MERCY HOSPITAL AURORA
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- May 13, 2004
- Last certification
- Jul 30, 2014
- Beds
- 53 (25 certified)
- Ownership / control type
- Church
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 500 Porter Ave
Aurora, MO 65605-2365
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Cabrini Koelsch |
Corporate Director | Feb 1, 2012 | |
| Jamie Wilke |
Corporate Officer |
Jul 1, 2024 | |
| John Lee |
Corporate Officer |
Jul 1, 2021 | |
| Mercy Health Springfield Communities |
5% Or Greater Direct Ownership Interest | Dec 15, 2009 | 100% |
| Jaime Zengotita |
Corporate Director |
Jul 1, 2021 | |
| Stacie Farnam |
W-2 Managing Employee |
Jan 1, 2021 | |
| Mercy Health |
5% Or Greater Indirect Ownership Interest | Dec 15, 2009 | 100% |
| Billy Redus |
Corporate Director |
Jul 1, 2017 | |
| Valerie Davis |
Corporate Director | Nov 23, 2020 | |
| Traci Mitchell |
Corporate Director |
Jul 1, 2021 | |
| Earle W Shiveley |
Corporate Director |
Jul 1, 2022 | |
| Danielle Nichole Still |
Corporate Director |
Jul 1, 2020 | |
| Travis T Hawks |
Corporate Director |
Jul 1, 2018 | |
| Sherry Clouse Day |
Corporate Officer |
May 20, 2020 | |
| W-2 Managing Employee |
May 20, 2020 | ||
| Brian Day |
Corporate Officer |
May 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040727000335 | MO | Part B Supplier - Clinic/Group Practice | 9436063211 |
Receives reassigned benefits from 187 practitioners Practice locations: Aurora, MO |
| O20061104000261 | MO | Part a Provider - Critical Access Hospital | 9436063211 |
Receives reassigned benefits from 177 practitioners Practice locations: Aurora, MO; Mount Vernon, MO |
National Provider Directory
Locations
500 Porter Ave
Ste 430
Aurora, MO 65605
22361 Oak Ridge Dr
Shell Knob, MO 65747
Phone (417) 858-3731
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 1330 | MO | Yes |
Addresses
Primary practice location
500 Porter Ave
Aurora, MO 65605
Mailing address
500 Porter Ave
Aurora, MO 65605-2365
Phone (417) 678-2122
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010569507 | Medicaid | MO | |
| 217428105 | Medicaid | AR |
Other names
- Mercy Hospital Aurora
Other providers in Aurora, MO
- Jordyn Leann Martin
- Allyson Renee Maus
- Barbara L McVey
- Medical Partners of Aurora, LLC
- Mercy Hospital Aurora
- Mercy Hospital Springfield
- Mercy Hospital Springfield
- Darrell Eugene Meredith
- Keith A. Meyer
- Loyce Elaine Miller
All providers in Aurora, MO · Critical Access Hospital in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.