| Mercy Clinic Joplin Llc | |
|
101 W Sycamore St Columbus KS 66725-1276 | |
| (620) 429-3636 | |
| Not Available |
| Full Name | Mercy Clinic Joplin Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 W Sycamore St, Columbus, Kansas |
| Authorized Official Name and Position | Mathew Janssens (CFO) |
| Authorized Official Contact | 4175562459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic Joplin Llc Po Box 504944 Saint Louis MO 63150-0001 Ph: (314) 466-6428 | Mercy Clinic Joplin Llc 101 W Sycamore St Columbus KS 66725-1276 Ph: (620) 429-3636 |
| NPI Number | 1043547474 |
|---|---|
| Provider Enumeration Date | 11/05/2009 |
| Last Update Date | 04/30/2025 |
| Medicare PECOS PAC ID | 0547300196 |
|---|---|
| Medicare Enrollment ID | O20091214000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043547474 | NPI | - | NPPES |
| 1043547474 | Medicaid | MO | |
| 200639810B | Medicaid | KS | |
| 1043547474 | Other | KS | KANSAS BLUE CROSS |
| Provider Name | Mindi Suzanne Garner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831192921 PECOS PAC ID: 1658274204 Enrollment ID: I20040805000016 |
| Provider Name | William R Craig |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831130020 PECOS PAC ID: 9638070220 Enrollment ID: I20041214000433 |
| Provider Name | Danine T Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710953559 PECOS PAC ID: 0648208579 Enrollment ID: I20050801000926 |
| Provider Name | Jacqueline S Orender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174559520 PECOS PAC ID: 9335157213 Enrollment ID: I20060404000521 |
| Provider Name | David Bendorf |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639107881 PECOS PAC ID: 1254326721 Enrollment ID: I20061113000515 |
| Provider Name | Holly A Cranston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720119456 PECOS PAC ID: 7719079458 Enrollment ID: I20070824000790 |
| Provider Name | Trina M Larery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124207667 PECOS PAC ID: 8729168885 Enrollment ID: I20080102000665 |
| Provider Name | Jon C Banwart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760410542 PECOS PAC ID: 4183639156 Enrollment ID: I20090415000107 |
| Provider Name | Brian J Ipsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851371769 PECOS PAC ID: 1951373083 Enrollment ID: I20090415000131 |
| Provider Name | John T Ogden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801832738 PECOS PAC ID: 7315948676 Enrollment ID: I20090511000257 |
| Provider Name | Jonathan L Grantham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386671238 PECOS PAC ID: 5496757742 Enrollment ID: I20090529000119 |
| Provider Name | Stephen J Bazzano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063423150 PECOS PAC ID: 4486741600 Enrollment ID: I20100104000602 |
| Provider Name | Michael Tilley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144371147 PECOS PAC ID: 7315083813 Enrollment ID: I20100817001580 |
| Provider Name | Michael Hearndon |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1972625853 PECOS PAC ID: 4183774508 Enrollment ID: I20100902000033 |
| Provider Name | Mark E Mcnemar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023126893 PECOS PAC ID: 6204830813 Enrollment ID: I20100921000764 |
| Provider Name | Jose C De Hoyos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689600850 PECOS PAC ID: 8628176294 Enrollment ID: I20110411000197 |
| Provider Name | Crystal M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134437411 PECOS PAC ID: 2062680150 Enrollment ID: I20110715000117 |
| Provider Name | Lynda D Banwart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851328769 PECOS PAC ID: 6901808989 Enrollment ID: I20111212000106 |
| Provider Name | Benjamen Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255416558 PECOS PAC ID: 3173799491 Enrollment ID: I20120106000700 |
| Provider Name | Carey S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891068540 PECOS PAC ID: 7719147248 Enrollment ID: I20120321000109 |
| Provider Name | David G Blancho |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366753055 PECOS PAC ID: 5496999252 Enrollment ID: I20130919000153 |
| Provider Name | Seth E Sewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982036299 PECOS PAC ID: 3375779705 Enrollment ID: I20131113001336 |
| Provider Name | Christine Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295120533 PECOS PAC ID: 2062732191 Enrollment ID: I20150513001479 |
| Provider Name | Michele Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295104867 PECOS PAC ID: 6901115690 Enrollment ID: I20151020001837 |
| Provider Name | Jickie Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386016954 PECOS PAC ID: 1658671789 Enrollment ID: I20151123000253 |
| Provider Name | Stephanie Hallacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164762274 PECOS PAC ID: 8426352923 Enrollment ID: I20160203001554 |
| Provider Name | Jared A Stanton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194017996 PECOS PAC ID: 4284867078 Enrollment ID: I20160914001570 |
| Provider Name | Echo L Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285181255 PECOS PAC ID: 1153618616 Enrollment ID: I20160927001392 |
| Provider Name | Randy G Brown |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1134218662 PECOS PAC ID: 0042268112 Enrollment ID: I20161116001125 |
| Provider Name | Jessica D Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235262924 PECOS PAC ID: 0941305221 Enrollment ID: I20161116001917 |
| Provider Name | Allyson R Grimaldi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912422106 PECOS PAC ID: 3375818289 Enrollment ID: I20171003005669 |
| Provider Name | Toby G Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235321381 PECOS PAC ID: 6002056686 Enrollment ID: I20171122002657 |
| Provider Name | Brenda M Cupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366530628 PECOS PAC ID: 8729087598 Enrollment ID: I20180502002703 |
| Provider Name | Katelyn E Hite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700299542 PECOS PAC ID: 2769601178 Enrollment ID: I20180530001762 |
| Provider Name | Eugerie A Hanley |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205063476 PECOS PAC ID: 6103959655 Enrollment ID: I20190426000891 |
| Provider Name | David E Eisenhauer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720281330 PECOS PAC ID: 2668652371 Enrollment ID: I20200731001540 |
| Provider Name | Brice Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730701947 PECOS PAC ID: 2961827167 Enrollment ID: I20200805001770 |
| Provider Name | Andrew Nelson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861810541 PECOS PAC ID: 4587880794 Enrollment ID: I20200820002947 |
| Provider Name | Meghan Metzger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417570821 PECOS PAC ID: 9537580857 Enrollment ID: I20201019001208 |
| Provider Name | Linsey Shouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578232070 PECOS PAC ID: 9436281250 Enrollment ID: I20210917001493 |
| Provider Name | Jason Heflin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043829815 PECOS PAC ID: 7719379361 Enrollment ID: I20220112000525 |
| Provider Name | Deborah Capshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295186203 PECOS PAC ID: 6002101904 Enrollment ID: I20220207001795 |
| Provider Name | Aaron Weber |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164758470 PECOS PAC ID: 5294051959 Enrollment ID: I20220405002010 |
| Provider Name | Lauren E Mendicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275098873 PECOS PAC ID: 6901134394 Enrollment ID: I20220909000619 |
| Provider Name | Brett Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629790126 PECOS PAC ID: 8921474644 Enrollment ID: I20221025002615 |
| Provider Name | Aaron Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679203103 PECOS PAC ID: 7911364765 Enrollment ID: I20230609000129 |
| Provider Name | Katherine Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528437936 PECOS PAC ID: 2264741933 Enrollment ID: I20230629002322 |
| Provider Name | Christopher D'silva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285254722 PECOS PAC ID: 4183011406 Enrollment ID: I20230830004194 |
| Provider Name | Mckenzie Elizabeth Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962280750 PECOS PAC ID: 3678927548 Enrollment ID: I20230926002691 |
| Provider Name | Lauren Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336926047 PECOS PAC ID: 5294184578 Enrollment ID: I20231212002040 |
| Provider Name | Jordan Lefevers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114432150 PECOS PAC ID: 8426316076 Enrollment ID: I20240226001887 |
| Provider Name | Misty Vyhlidal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215794797 PECOS PAC ID: 2961702238 Enrollment ID: I20240416003762 |
| Provider Name | Carl Painter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689669111 PECOS PAC ID: 4880652049 Enrollment ID: I20240502001949 |
| Provider Name | Coeta Ogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295129591 PECOS PAC ID: 5496019598 Enrollment ID: I20240503002074 |
| Provider Name | Arielle Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437913514 PECOS PAC ID: 5092152041 Enrollment ID: I20240530002375 |
| Provider Name | Ashley Josephine Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104512813 PECOS PAC ID: 0446793343 Enrollment ID: I20240620001232 |
| Provider Name | Audrey Hubler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831754720 PECOS PAC ID: 4688917727 Enrollment ID: I20240802001316 |
| Provider Name | Sean Michael Haase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518705714 PECOS PAC ID: 6608315502 Enrollment ID: I20240822004631 |
| Provider Name | Ehab Abdelgyed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902467897 PECOS PAC ID: 6305173089 Enrollment ID: I20240823003450 |
| Provider Name | David Zurita |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336642925 PECOS PAC ID: 5799032744 Enrollment ID: I20240917004268 |
| Provider Name | Kimberly Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215287750 PECOS PAC ID: 7214187202 Enrollment ID: I20240927001113 |
| Provider Name | Miricle Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770040222 PECOS PAC ID: 9234479684 Enrollment ID: I20241015001285 |
| Provider Name | Amanda Lewton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922329382 PECOS PAC ID: 1557501772 Enrollment ID: I20241015002287 |
| Provider Name | Ashley Weathers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629734934 PECOS PAC ID: 4688032808 Enrollment ID: I20250424002390 |
Mercy Hospital Columbus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W Sycamore St, Columbus, KS 66725 Phone: 620-429-3636 | |
Advanced Primary Care Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 W Pine St, Columbus, KS 66725 Phone: 620-429-1008 Fax: 620-429-3780 | |
Community Health Center Of Southeast Kansas Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 124 S Highschool Ave, Columbus, KS 66725 Phone: 888-777-9170 Fax: 620-231-5062 | |
Mcpherson Medical & Diagnostic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 W Maple St, Columbus, KS 66725 Phone: 417-310-9286 Fax: 417-674-4662 | |
Mcpherson Medical & Diagnostic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 915 W Maple St, Columbus, KS 66725 Phone: 417-310-9288 | |
St. John's Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W Sycamore St, Columbus, KS 66725 Phone: 620-429-3636 Fax: 620-429-1301 |