NPIMap

Organization Active NPI

Mercy Clinics, Inc

Doing business as Mercy Waukee Medical Clinic

  • Family Medicine Physician
  • Waukee, IA
National Provider Identifier
1114238995
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MERCY CLINICS, INC
Doing business as
Mercy Waukee Medical Clinic
MercyOne Waukee Convenient Care
MercyOne Waukee Family Medicine Clinic1 more in Other names
Practice address
350 E Hickman Rd
Waukee, IA 50263-5005
Phone
(515) 643-7090
Fax
(515) 643-7091
NPI assigned
Jun 28, 2010
Last updated
Jul 22, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY CLINICS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Bradley Whipple
Title
Coo
Phone
(515) 358-6956

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X

Addresses

Primary practice location

350 E Hickman Rd
Waukee, IA 50263-5005

Mailing address

PO Box 674721
Dallas, TX 75267-4721
Phone (515) 643-2519

Other practice location 1

25 W Hickman Road
Waukee, IA 50263-5018
Phone (515) 643-7000

Other names 4

  • Mercy Waukee Medical Clinic Doing business as
  • MercyOne Waukee Convenient Care Doing business as
  • MercyOne Waukee Family Medicine Clinic Doing business as
  • MercyOne Waukee Pediatrics Care Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031112000238 IA Part B Supplier - Clinic/Group Practice 7911810882 Receives reassigned benefits from 558 practitioners
This NPI is an additional NPI on the enrollment

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2296569Mercyone Waukee Pediatrics Care350 E Hickman Rd, Waukee, IA 50263Certificate of waiverJan 1, 2028

National Provider Directory

National Provider Directory
Tax ID family
Outpatient Diagnostic C37 organizations share this tax ID, including this one
Part of
Outpatient Diagnostic C

Other organizations with this tax ID 36

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

View all 36

Locations

5615 NW 86th St
Ste 200
Johnston, IA 50131
Phone (515) 643-6090

25 W Hickman Rd
Ste 100
Waukee, IA 50263
Phone (515) 643-7000

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1114238995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674721",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674721",
            "telephone_number": "515-643-2519",
            "fax_number": "515-643-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E HICKMAN RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502635005",
            "telephone_number": "515-643-7090",
            "fax_number": "515-643-7091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 W Hickman Road",
            "address_purpose": "LOCATION",
            "city": "Waukee",
            "state": "IA",
            "postal_code": "502635018",
            "country_code": "US",
            "telephone_number": "515-643-7000",
            "fax_number": "515-643-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY CLINICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY CLINICS, INC.",
        "enumeration_date": "2010-06-28",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "WHIPPLE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "515-358-6956"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Waukee Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Waukee Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Waukee Convenient Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Waukee Family Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Waukee Pediatrics Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waukee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.