Mercy Clinics, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MERCY CLINICS, INC

Doing business as

MercyOne Grimes Family Medicine Clinic
MercyOne Grimes Pediatrics Care Clinic
MercyOne Johnston Family Medicine Clinic1 more in Other names

Practice address

5615 NW 86TH St
Johnston, IA 50131-1738

Phone

(515) 643-6000

Fax

(515) 643-6001

NPI assigned

Jul 15, 2006

Last updated

Oct 11, 2024By 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

Bradley Whipple

Title

Chief Operating Officer

Phone

(515) 358-6956

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 4

• MercyOne Grimes Family Medicine Clinic Doing business as
• MercyOne Grimes Pediatrics Care Clinic Doing business as
• MercyOne Johnston Family Medicine Clinic Doing business as
• MercyOne Johnston Pediatrics Care Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 21

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.

• Carlos Alarcon-Schroder, MD

  • Family Medicine Physician
  • Johnston, IA
  • NPI 1013986751
  NPD
• Rana Aldurrah, MD

  • Pediatrics Physician
  • Johnston, IA
  • NPI 1295842375
  NPD
• Kenneth M Andersen, MD

  • Family Medicine Physician
  • Johnston, IA
  • NPI 1386654986
  NPD
• Kimberley P Bauman, MD

  • Family Medicine Physician
  • Urbandale, IA
  • NPI 1194953844
  NPD
• Premnath Chinnaiyan, MD

  • Pediatrics Physician
  • Des Moines, IA
  • NPI 1881943090
  NPD
• Kari Kristen Coleman, CPNP

  • Pediatric Nurse Practitioner
  • Des Moines, IA
  • NPI 1336449610
  NPD
• Adam Elliott Culver, DNP

  • Nurse Practitioner
  • Grimes, IA
  • NPI 1710538244
  NPD
• Mustafa Eldadah, MD

  • Pediatrics Physician
  • Des Moines, IA
  • NPI 1306954516
  NPD
• Collin Foster, MD

  • Pediatrics Physician
  • Waukee, IA
  • NPI 1386267755
  NPD
• Amy Fulton, MD

  • Family Medicine Physician
  • Johnston, IA
  • NPI 1043229446
  NPD
• Jennifer Linn Gerrietts, D.O.

  • Family Medicine Physician
  • Grimes, IA
  • NPI 1437312485
  NPD
• Mirnes Kadic, DO

  • Family Medicine Physician
  • Grimes, IA
  • NPI 1700345766
  NPD

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1194741694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-6000",
            "fax_number": "515-643-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 NW 86TH ST",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311738",
            "telephone_number": "515-643-6000",
            "fax_number": "515-643-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5615 NW 86th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "IA",
            "postal_code": "501311738",
            "country_code": "US",
            "telephone_number": "515-643-6090",
            "fax_number": "515-643-6001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Laurel St Ste 3300",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503143027",
            "country_code": "US",
            "telephone_number": "515-300-3900",
            "fax_number": "515-300-3901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 SW Brookside Dr",
            "address_purpose": "LOCATION",
            "city": "Grimes",
            "state": "IA",
            "postal_code": "501114900",
            "country_code": "US",
            "telephone_number": "515-300-3900",
            "fax_number": "515-300-3901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY CLINICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "WHIPPLE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "515-358-6956"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0209023",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD3776",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MercyOne Grimes Family Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Grimes Pediatrics Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Johnston Family Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Johnston Pediatrics Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elaine McKiness, PMHNP-BC
• Tseday McMurray
• Meadowview of Johnson LLC
• Mending Minds, LLC (Walnut Creek Psychiatry)
• Lesile Jane Mentele
• Alesha Merz, MOTR/L, CBIS, ITOT
• Scott R Meyer, MD
• Gatwech Ruach Miak
• Virginia Michael, OTR
• Mid Iowa Speech Therapy

• Primary Care Clinic/Center in Johnston, IA
• Providers in Johnston, IA by specialty
• Primary Care Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.