NPIMap

Organization Active NPI

Mercy Medical Center-Newton

Doing business as MercyOne Newton Medical Center

  • General Acute Care Hospital
  • Newton, IA
National Provider Identifier
1003296179
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
500041H Issued in IA
Legal business name
MERCY MEDICAL CENTER-NEWTON
Doing business as
MercyOne Newton Medical Center
Skiff Medical Center
Practice address
204 N 4TH Ave E
Newton, IA 50208-3135
Phone
(734) 343-4233
NPI assigned
Jun 4, 2015
Last updated
Jun 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Chad Kelley
Title
Coo
Phone
(734) 343-4233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 500041H IA Primary

Addresses

Primary practice location

204 N 4TH Ave E
Newton, IA 50208-3135

Mailing address

204 N 4TH Ave E
Newton, IA 50208-3135
Phone (641) 792-1273

Other names 2

  • MercyOne Newton Medical Center Doing business as
  • Skiff Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150716002297 IA Part A Provider - Hospital 7911803176 Practice locations: Newton, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003296179. Details of each certification follow.

Hospital certification: CCN 160032

Legal name
MERCY MEDICAL CENTER-NEWTON
Doing business as
MERCYONE NEWTON MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 21, 2022
Beds
68
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
204 N 4TH Ave E
Newton, IA 50208-3135
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Mercyone Newton Medical CenterCCN 160032 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Mercy Medical Center - Newton6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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
Patrick J Edwards Individual Corporate DirectorBoard Member Jan 1, 2025
Adam Otto Individual Corporate OfficerChair Jan 1, 2019
Corporate DirectorBoard Member Jan 1, 2019
Bev Rossow Individual Corporate OfficerSecretary Jul 1, 2020
Corporate DirectorBoard Member Jul 1, 2020
Mercy Health Network Inc Organization, Clive, IA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2022 100%
Robert Robinson Individual Corporate DirectorBoard Member Jul 1, 2024
William Reynolds Individual Corporate DirectorBoard Member Jul 1, 2021
Michael Trachta Individual Corporate DirectorBoard Member Jul 1, 2023
Catholic Health Initiatives-Iowa Corp Organization, Des Moines, IA Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2022 100%
Chad M Kelley Individual Corporate OfficerCoo - Ex-Officio Apr 28, 2023
Corporate DirectorBoard Member Jul 1, 2023
W-2 Managing EmployeeCoo Apr 28, 2023
Carol Farver Individual Corporate DirectorBoard Member Apr 23, 2024
Sandra Sue Christensen Individual Corporate OfficerTreasurer Dec 2, 2024
Mark Allen Individual Corporate OfficerVice Chair May 1, 2018
Corporate DirectorBoard Member May 1, 2018
Trinity Health Corporation Organization, Livonia, MI Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Sep 1, 2022 100%
Cynthia Jean Tripp Individual W-2 Managing EmployeeManager Sep 26, 2009
Lois Vogel Individual Corporate DirectorBoard Member Jul 1, 2015

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 217

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 217

Practitioners & affiliated clinicians

Practitioners 5

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.

Affiliated clinicians 195

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

View all 195

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1003296179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N 4TH AVE E",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083135",
            "telephone_number": "641-792-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N 4TH AVE E",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083135",
            "telephone_number": "734-343-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL CENTER-NEWTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "734-343-4233"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IA",
            "license": "500041H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd",
            "address_2": "#302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MercyOne Newton Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skiff Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skiff Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, IA

Sources for this page

Verify at the official NPI Registry.