NPIMap

Organization Active NPI

Gracemed Health Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Topeka, KS
National Provider Identifier
1194174482
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GRACEMED HEALTH CLINIC, INC
Practice address
1400 SW Huntoon St
Topeka, KS 66604-1231
Phone
(785) 861-8800
Fax
(785) 478-5991
NPI assigned
Jun 7, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Julie Elder, DONPI 1275597494
Title
Ceo
Phone
(316) 866-2066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Owners & managing parties with NPI records 13

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

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 13

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

Corporate family (same tax ID) 16

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

Facilities with the same owner 9

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

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Federally qualified health center certification: CCN 171864

Medicare enrollment files
Legal name
GRACEMED HEALTH CLINIC INC
Doing business as
GRACEMED CAPITOL FAMILY CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 17, 2016
Last certification
Jun 17, 2016
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jun 21, 1994 in KS
Enrollment address
1400 SW Huntoon St
Topeka, KS 66604-1231

All disclosed owners & managing parties 2

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Venus Lee Individual Corporate OfficerCeo Jan 23, 2010
W-2 Managing EmployeeCeo Jan 23, 2010
Gracemed Health Clinic Inc Organization, Wichita, KS Corporation, Non-profit Operational/Managerial Control Jul 1, 2016 100%

All facility ownership & control disclosures 9

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gracemed Good Samaritan ClinicWichita, KS, CCN 171837 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2006
Gracemed Mother Mary Anne ClinicWichita, KS, CCN 171841 Federally qualified health center Operational/Managerial Control (100%) Feb 23, 2012
Gracemed Dodge Family ClinicWichita, KS, CCN 171847 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2013
Gracemed Oaklawn Family ClinicWichita, KS, CCN 171852 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 28, 2018
Jul 28, 2014
Gracemed Jardine Family ClinicWichita, KS, CCN 171855 Federally qualified health center Operational/Managerial Control (100%) Jul 1, 2015
Gracemed Meyer Family ClinicWichita, KS, CCN 171857 Federally qualified health center Operational/Managerial Control (100%) Oct 15, 2015
Gracemed Highland Park Family ClinicTopeka, KS, CCN 171866 Federally qualified health center Operational/Managerial Control (100%) Jul 1, 2016
Gracemed Virginia & George Ablah Family ClinicWichita, KS, CCN 171865 Federally qualified health center Operational/Managerial Control (100%) Mar 15, 2016
Gracemed Clearwater Family ClinicClearwater, KS, CCN 171883 Federally qualified health center Operational/Managerial Control (100%) Nov 19, 2018

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20160620000872 KS Part a Provider - Federally Qualified Health Center (FQHC) 9830098185 Practice locations: Topeka, KS

National Provider Directory

National Provider Directory
Tax ID family
Gracemed Health Clinic Inc (17 organizations share this tax ID)

Locations

2025 SE California Ave
Topeka, KS 66607
Phone (785) 368-2000

1150 N Broadway Ave
Wichita, KS 67214

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

1400 SW Huntoon St
Topeka, KS 66604-1231

Mailing address

1150 N Broadway Ave
Wichita, KS 67214-2805
Phone (316) 866-2000

Other names 1

NPPES NPI Registry
  • GraceMed Capitol Family Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2025.

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1194174482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N BROADWAY AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142805",
            "telephone_number": "316-866-2000",
            "fax_number": "316-866-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SW HUNTOON ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041231",
            "telephone_number": "785-861-8800",
            "fax_number": "785-478-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEMED HEALTH CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-866-2066",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GraceMed Capitol Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GraceMed Capitol Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.