Mercy Health Marcum and Wallace Hospital – Critical Access Hospital, NPI 1487643821

Mercy Health Marcum and Wallace Hospital is a healthcare provider. based in Cincinnati, Ohio. specializing in Critical Access Hospital. The organization holds a License No. 01002526 (KY). The NPI Number for Mercy Health Marcum and Wallace Hospital is 1487643821

Main info

Organization
Name
Mercy Health Marcum and Wallace Hospital
NPI
1487643821
Phone
(270) 444-2163
Address
PO BOX 636544
Authorized Official
MS. TRENA LYNN STOCKER PRESIDENT
Enumeration Date
18 October 2005
Last Update Date
2 March 2021

Contacts

Main Contact
https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness90
Years active:20State licenses:1Updated within 12 months

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Provider Addresses for Mercy Health Marcum and Wallace Hospital

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452636544

    Phone: (270) 444-2163

    Fax: (270) 444-2460

    Type: Mailing

  • Marcum & Wallace Memorial Hospital, 60, Mercy Court, Irvine, Estill County, Kentucky, 40336, United States

    IRVINE, KY 403361331

    Phone: (270) 444-2163

    Fax: (270) 444-2460

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-09-30 (617 days ago).

Enrollment records

1

Earliest due date

2024-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20071217000706OCritical Access HospitalKY2024-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45263)

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Reviews

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Frequently asked questions

How is Mercy Health Marcum and Wallace Hospital identified in CMS data?
CMS-hosted NPPES data lists Mercy Health Marcum and Wallace Hospital with NPI 1487643821.
Does the file indicate Mercy Health Marcum and Wallace Hospital is practicing under active NPI?
Directory data currently reports Mercy Health Marcum and Wallace Hospital as active.
What is Mercy Health Marcum and Wallace Hospital's specialty?
The listing groups Mercy Health Marcum and Wallace Hospital with Critical Access Hospital. Clinical services aligned with this taxonomy classification.
Where is Mercy Health Marcum and Wallace Hospital based?
Mercy Health Marcum and Wallace Hospital is tied to Cincinnati, Ohio in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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