Mercy Care Management, Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MERCY CARE MANAGEMENT, INC

Doing business as

MercyCare Hiawatha Urgent Care

Practice address

1195 Boyson Rd FL 1
Hiawatha, IA 52233-2214

Phone

(319) 832-3950

Fax

(319) 832-3951

NPI assigned

Apr 13, 2017

Last updated

Nov 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy L Charles

Title

President and Ceo

Phone

(319) 398-6697

Specialties & licenses 2

Addresses

Other names 1

• MercyCare Hiawatha Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mercy Care Management, Inc

  dba Mercy Care South

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1306042890

  O20040322000692

  Same enrollment
• Mercy Care Management, Inc

  dba Mercy Care North

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1467659268

  O20040322000692

  Same enrollment
• Mercycare Management

  dba MercyCare Occupational Health Partners

  • Occupational Medicine Physician
  • Cedar Rapids, IA
  • NPI 1285831081

  O20040322000692

  Same enrollment

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

• Mercy Physician Associates, Inc

  dba MercyCare Tama

  • Rural Health Clinic/Center
  • Tama, IA
  • NPI 1154490779

  Member Of

  NPD member
• Mercy Physician Associates, Inc

  dba MercyCare Monticello

  • Rural Health Clinic/Center
  • Monticello, IA
  • NPI 1700955317

  Member Of

  NPD member
• Mercy Physician Associates, Inc

  dba Mercy Care Blairs Ferry

  • Family Medicine Physician
  • Hiawatha, IA
  • NPI 1962608406

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Carly Roskop

  • Family Nurse Practitioner
  • Manchester, IA
  • NPI 1083096663
  NPD

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1114451424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2963",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524062963",
            "telephone_number": "319-832-3950",
            "fax_number": "319-832-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 BOYSON RD FL 1",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332214",
            "telephone_number": "319-832-3950",
            "fax_number": "319-832-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CARE MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "319-398-6697",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MercyCare Hiawatha Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Alan McSweeny, DC
• Bryton Melenas, DPT
• Michael Angelo Mendoza, LMFT
• Mindy Jean Mensen, ARNP
• Mark Thomas Mentzer, OD
• Mercy Medical Center (Hospice of Mercy)
• Mercy Physician Associates, Inc (Mercy Care Blairs Ferry)
• Mercy Surgery Center LLC
• James William Metzger, M.D.
• Jayme Mews

• Family Nurse Practitioner in Hiawatha, IA
• Providers in Hiawatha, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.