NPIMap

Organization Active NPI

Primary Health Care, Inc.

Doing business as Primary Health Care at Mercy

  • Federally Qualified Health Center (FQHC)
  • Des Moines, IA
National Provider Identifier
1316379845
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PRIMARY HEALTH CARE, INC.
Doing business as
Primary Health Care at Mercy
Practice address
250 Laurel St
Des Moines, IA 50314-3024
Phone
(515) 612-9595
Fax
(515) 346-6721
NPI assigned
Aug 7, 2013
Last updated
Jan 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Nathaniel A Simpson
Title
Chief Executive Officer
Phone
(515) 248-1441

Specialties & licenses 1

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

Addresses

Primary practice location

250 Laurel St
Des Moines, IA 50314-3024

Mailing address

1200 University Ave Ste 200
Des Moines, IA 50314-2355
Phone (515) 248-1447

Other names 1

  • Primary Health Care at Mercy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031106000487 IA Part B Supplier - Clinic/Group Practice 8426966755 Receives reassigned benefits from 83 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Urbandale, IA; Marshalltown, IA; Des Moines, IA; Ames, IA
O20131001000507 IA Part A Provider - Federally Qualified Health Center (FQHC) 8426966755 Practice locations: Des Moines, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316379845. Details of each certification follow.

Federally qualified health center certification: CCN 161861

Legal name
PRIMARY HEALTH CARE INC
Doing business as
PRIMARY HEALTH CARE AT MERCY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 2013
Last certification
Oct 1, 2013
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Dec 31, 1989 in IA
Enrollment address
250 Laurel St
Des Moines, IA 50314-3024

Other NPIs with the same Medicare PAC ID 12

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

Other NPIs on the same Medicare enrollment 11

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

National Provider Directory

National Provider Directory
Tax ID family
Primary Health Care13 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Billie Wade Individual Corporate Director May 1, 2012
Sarah Lyn Evans Individual Corporate DirectorResidency Clinic Director Aug 19, 2019
Janet L Hicks Individual Corporate Director Jan 26, 2018
Sandra Hansen Individual Corporate Officer Oct 1, 2014
Roger Alan Lacoy Individual Corporate Director Oct 30, 2015
Scott Clair Individual Corporate Director Apr 26, 2013
Juan Cadenillas Individual Corporate Director Jul 1, 2008
William Schoenenberger Individual Corporate Director Jul 1, 2008
Benjamin E Bellus Individual Corporate Director Jul 1, 1998
Samuel M Carbajal Individual Corporate Director May 30, 2014
Sergio Hernandez Individual Corporate Director Jul 1, 2007
Denise Essman Individual Corporate Director Aug 31, 2018
Karin Jean Derry Individual Corporate Director May 27, 2016
Jennifer Lynne Nobisch Individual Corporate Director Jun 1, 2021
Kristopher Glaser Individual Corporate DirectorChief Financial Officer Jul 31, 2020
Ted Morris Johnson Individual Corporate Director May 27, 2016
Kelly a Huntsman Individual Corporate DirectorExecutive Director Apr 29, 2002
W-2 Managing Employee Apr 29, 2002

Practitioners & affiliated clinicians

Practitioners 2

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": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1316379845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 UNIVERSITY AVE STE 200",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142355",
            "telephone_number": "515-248-1447",
            "fax_number": "515-248-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LAUREL ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143024",
            "telephone_number": "515-612-9595",
            "fax_number": "515-346-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "515-248-1441"
    },
    "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": "Primary Health Care at Mercy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primary Health Care at Mercy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.