MERCY HOSPITAL BOONEVILLE
NPI 1083004733
Nurse Anesthetist, Certified Registered in Booneville, AR

NPI Status: Active since February 03, 2015

Contact Information

880 W MAIN ST
BOONEVILLE, AR
ZIP 72927
Phone: (479) 675-2800

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  • Organization
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance
  • CLIA Number: 04D0469307
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 06-30-2025

About MERCY HOSPITAL BOONEVILLE

This page provides the complete NPI Profile along with additional information for Mercy Hospital Booneville, a provider established in Booneville, Arkansas operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1083004733 assigned on February 2015. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated May 2025. Mercy Hospital Booneville operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Sherry Clouse Day (Vp Finance)

NPI
1083004733
Provider Name
MERCY HOSPITAL BOONEVILLE
Entity Type
Organization
Location Address
880 W MAIN ST BOONEVILLE, AR 72927
Location Phone
(479) 675-2800
Mailing Address
880 W MAIN ST BOONEVILLE, AR 72927
Mailing Phone
(479) 675-2800
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-03-2015
Last Update Date
05-02-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHERRY CLOUSE DAY

Authorized Official Title
VP FINANCE
Authorized Official Phone
(417) 820-8439

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
04D0469307
Facility Type
Hospital
Certificate Effective Date
June 03, 2023
Certificate Expiration Date
June 30, 2025
Laboratory Director
DR. GEORGE J. WANG
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Mercy Hospital Booneville after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for MERCY HOSPITAL BOONEVILLE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1083004733
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2016300876
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 0 + 0 + 8 + 7 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1083004733 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285631473 SAHIBZADA A AHMED M.D.
Individual
Surgery880 W MAIN ST
BOONEVILLE, AR 72927
(479) 675-2800
1053328955DR. SYED IMRAN HAMID M.D.
Individual
Family Medicine880 W MAIN ST
BOONEVILLE, AR 72927
(479) 675-2800
1780908319 JULIE ELIZABETH GREEK APN
Individual
Nurse Practitioner (Family)880 W MAIN ST
BOONEVILLE, AR 72927
(479) 675-2455
1508294877MERCY HOSPITAL FORT SMITH
Organization
Home Health880 W MAIN ST
BOONEVILLE, AR 72927
(479) 675-2800
1235567504MERCY HOSPITAL BOONEVILLE
Organization
Medicare Defined Swing Bed Unit880 W MAIN ST
BOONEVILLE, AR 72927
(479) 675-2800
1992133714MERCY HOSPITAL BOONEVILLE
Organization
General Acute Care Hospital (Critical Access)880 W MAIN ST
BOONEVILLE, AR 72927
(479) 675-2800
1922208768 SHERRY DENISE TURNER D.O.
Individual
Emergency Medicine880 W MAIN ST
BOONEVILLE, AR 72927
(479) 675-2800
1497833610DR. LISA MICHELLE HENDRIX M.D.
Individual
Family Medicine880 W MAIN ST
BOONEVILLE, AR 72927
(479) 675-2800
1558897967 HANNAH GRACE EVELD
Individual
Emergency Medicine880 W MAIN ST
BOONEVILLE, AR 72927
(479) 675-2800
1770088296 DENNIS JARED BERRY MD
Individual
Family Medicine880 W MAIN ST
BOONEVILLE, AR 72927
(479) 675-2800
1184865164MR. STEVEN LEE MCDONALD APRN
Individual
Nurse Practitioner880 W MAIN ST
BOONEVILLE, AR 72927
(479) 675-2455
1447203757DR. ANDREW DAVID DANIEL MD
Individual
Emergency Medicine880 W MAIN ST
BOONEVILLE, AR 72927
(479) 675-2800
1427403955 DAVID SEAN HOPKINS
Individual
Family Medicine880 W MAIN ST
BOONEVILLE, AR 72927
(479) 675-2800
1356034748 JUSTIN LEE SCANTLING APRN
Individual
Nurse Practitioner (Gerontology)880 W MAIN ST
BOONEVILLE, AR 72927
(479) 675-2800
1568089555 ROBERT BENJAMIN BOWMAN DO
Individual
Emergency Medicine880 W MAIN ST
BOONEVILLE, AR 72927
(479) 675-2800
1952316366 EDWARD LARRY GILLS M.D.
Individual
Family Medicine880 W MAIN ST
BOONEVILLE, AR 72927
(479) 675-2800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083004733, enumerated in the NPI registry as an "organization" on February 03, 2015

The provider is located at 880 W Main St Booneville, Ar 72927 and the phone number is (479) 675-2800

This medical organization specializes in Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 04D0469307 for a "hospital" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on February 03, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.