NPIMap

Organization Active NPI

Mercy Medical Center-Dyersville

Doing business as MercyOne Dyersville Medical Center

  • Critical Access Hospital
  • Dyersville, IA
National Provider Identifier
1205816725
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
310181H Issued in IA
Legal business name
MERCY MEDICAL CENTER-DYERSVILLE
Doing business as
MercyOne Dyersville Medical Center
Practice address
1111 3Rd St SW
Dyersville, IA 52040-1725
Phone
(563) 875-7101
Fax
(563) 875-2957
NPI assigned
Jan 19, 2006
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Danielle Gearhart
Title
President
Phone
(563) 875-2909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 310181H IA Primary

Addresses

Primary practice location

1111 3Rd St SW
Dyersville, IA 52040-1725

Mailing address

250 Mercy Dr
Dubuque, IA 52001-7320
Phone (563) 589-9086

Other identifiers 2

IdentifierTypeStateIssuer
0601542MedicaidIA
310181HOtherLICENSE

Other names 1

  • MercyOne Dyersville 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 IA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20051223000157 IA Part B Supplier - Clinic/Group Practice 0244286680 Receives reassigned benefits from 38 practitioners
Practice locations: Dyersville, IA
O20070119000417 IA Part A Provider - Critical Access Hospital 0244286680 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dyersville, IA
O20070206000553 IA Part A Provider - Critical Access Hospital 0244286680 Receives reassigned benefits from 33 practitioners
Practice locations: Dyersville, IA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1205816725. Details of each certification follow.

Hospital certification: CCN 16Z378

Legal name
MERCY MEDICAL CENTER-DYERSVILLE
Doing business as
MERCYONE DYERSVILLE MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Feb 18, 1993 in IA
Enrollment address
1111 3Rd St SW
Dyersville, IA 52040-1725

Hospital certification: CCN 161378

Legal name
MERCY MEDICAL CENTER-DYERSVILLE
Doing business as
MERCYONE DYERSVILLE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 1, 2005
Last certification
Mar 26, 2026
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
1111 3Rd St SW
Dyersville, IA 52040-1725

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

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Mercyone Dyersville Medical CenterCCN 161378 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 2

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

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Kim M Duwe Individual Corporate OfficerAssistant Treasurer Aug 13, 2019
W-2 Managing EmployeeVP Finance Aug 21, 2015
Antoinette M Pratt Individual Operational/Managerial ControlChain Home Office Administrator Jul 1, 2019
Maurita Soukup Individual Corporate DirectorBoard Member Jan 1, 2017
Linda Ross Individual Corporate DirectorBoard Member Jan 1, 2020
Robert P Ritz Individual Corporate DirectorBoard Member Jan 1, 2018
Mercy Health Network Inc Organization, Clive, IA Corporation, Non-profit Operational/Managerial Control Mar 1, 2016 100%
Milton D Avery Individual Corporate DirectorBoard Member Jan 1, 2017
Kay L Takes Individual Corporate DirectorPresident Jan 1, 2013
W-2 Managing Employee Mar 23, 2018
Ralph F Reeder Individual Corporate DirectorBoard Member Jan 1, 2017
Mercy Health Services-Iowa Corp Organization, Mason City, IA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 19, 1998 100%
5% Or Greater Indirect Ownership Interest Aug 19, 1998 100%
Jacqueline Brunssen Individual W-2 Managing EmployeeVP Performance Excellence Jun 2, 2019
Trinity Health Corporation Organization, Livonia, MI Corporation, Non-profit 5% Or Greater Indirect Ownership Interest May 1, 2000 100%
Ray Anderson Individual Corporate DirectorBoard Member Jan 1, 2024
Heather Campbell Individual Corporate OfficerSecretary Jan 1, 2020
Daniel Roth Individual Corporate DirectorBoard Member Jun 1, 2022
Danielle L Gearhart Individual Corporate OfficerPresident, Network Hospital Aug 5, 2024
W-2 Managing EmployeeAd; Aug 5, 2024
Robert F Casalou Individual Corporate OfficerChair Jan 1, 2026
Corporate DirectorBoard Member Jan 1, 2026
Sandra Sue Christensen Individual Corporate OfficerAssistant Treasurer Jul 1, 2024
Daniel Isacksen Individual Corporate DirectorBoard Member Jun 1, 2022
Hilary Christiansen Individual W-2 Managing EmployeeDirector Financial Operations - Cah Mar 24, 2025
Terri Donovan Individual Corporate OfficerTreasurer Jan 1, 2024

Owners & managing parties with NPI records 12

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

Facilities with the same owner 215

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

View all 215

Practitioners & affiliated clinicians

Practitioners 43

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.

View all 43

Affiliated clinicians 59

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

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1205816725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MERCY DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017320",
            "telephone_number": "563-589-9086",
            "fax_number": "563-589-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 3RD ST SW",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520401725",
            "telephone_number": "563-875-7101",
            "fax_number": "563-875-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL CENTER-DYERSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "GEARHART",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-875-2909"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IA",
            "license": "310181H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0601542",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "310181H",
            "state": null
        }
    ],
    "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 # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MercyOne Dyersville Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dyersville, IA

Sources for this page

Verify at the official NPI Registry.