NPIMap

Organization Active NPI

Mary Greeley Medical Center

  • Community Based Hospice Care Agency
  • Ames, IA
National Provider Identifier
1457337263
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MARY GREELEY MEDICAL CENTER
Practice address
1114 Duff Ave
Ames, IA 50010-5739
Phone
(515) 956-6000
Fax
(515) 956-6090
NPI assigned
Dec 22, 2005
Last updated
May 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Amber Deardorff
Title
President/Ceo
Phone
(515) 239-2105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1114 Duff Ave
Ames, IA 50010-5739

Mailing address

1114 Duff Ave
Ames, IA 50010-5739
Phone (515) 956-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080303000181 IA Part A Provider - Hospice 6507769247 Practice locations: Ames, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457337263. Details of each certification follow.

Hospice certification: CCN 161508

Legal name
MARY GREELEY MEDICAL CENTER
Doing business as
MARY GREELEY HOSPICE SERVICES
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 21, 1987
Last certification
Mar 4, 2021
Ownership / control type
Government - City
Organization structure
GovernmentNon-profit
Enrollment address
1111 Duff Ave
Ames, IA 50010-5745

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Mary Greeley Hospice ServicesCCN 161508 · All quality measures
Ownership
Government
Certified
Oct 21, 1987
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Kalyan Sajja MD13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

1114 Duff Ave
Ames, IA 50010
Phone (515) 232-2450

400 South Dakota Ave
Ames, IA 50014
Phone (515) 239-6730

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Eric Adelmund Individual W-2 Managing Employee Dec 30, 2023
Mary M Kitchell Individual Corporate Director Feb 5, 2008
Amber Deardorff Individual Corporate OfficerCeo Apr 8, 2012
W-2 Managing Employee Mar 1, 2009
City of Ames Iowa Organization, Ames, IA Non-profit 5% Or Greater Direct Ownership Interest Jul 23, 2003 5%
Carla J Wickman Individual W-2 Managing Employee Feb 13, 2022 50%
Operational/Managerial Control Feb 13, 2022 50%
Natallia Gray Individual Corporate Director Jan 1, 2025
Sarah B Buck Individual Corporate Director Feb 5, 2008
Kenneth D McCuskey Individual Corporate Director Feb 5, 2008
Mary Beth Swanson Individual Corporate Director Jan 1, 2018

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Mary Greeley Medical CenterAmes, IA, CCN 160030 Hospital Operational/Managerial Control (100%) Jul 19, 2007
Mary Greeley Medical CenterAmes, IA, CCN 16T030 Hospital Operational/Managerial Control (100%) Jul 19, 2007
Mary Greeley Medical CenterAmes, IA, CCN 16S030 Hospital Operational/Managerial Control (100%) Jul 19, 2007

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 9

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

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1457337263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105739",
            "telephone_number": "515-956-6000",
            "fax_number": "515-956-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105739",
            "telephone_number": "515-956-6000",
            "fax_number": "515-956-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY GREELEY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "DEARDORFF",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "515-239-2105"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.