Organization Active NPI

Mercy Clinics, Inc.

Doing business as MercyOne Clive Family Medicine Clinic

  • Primary Care Clinic/Center
  • Clive, IA
National Provider Identifier
1487670923
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MERCY CLINICS, INC.
Doing business as
MercyOne Clive Family Medicine Clinic
MercyOne Clive Pediatrics Care Clinic
MercyOne Des Moines Weight Loss & Nutrition Center1 more in Other names
Practice address
1601 NW 114TH St Ste 247
Clive, IA 50325-7036
Phone
(515) 222-7000
Fax
(515) 222-7037
NPI assigned
Jul 15, 2006
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY CLINICS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Bradley Whipple
Title
Coo
Phone
(515) 358-6956

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Primary Care Clinic/Center 261QP2300X NU Primary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Family Nurse Practitioner 363LF0000X NU
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

1601 NW 114TH St Ste 247
Clive, IA 50325-7036

Mailing address

PO Box 674721
Dallas, TX 75267-4721
Phone (515) 643-2519

Other practice location 1

12493 University Ave Ste 110
Clive, IA 50325-8286
Phone (515) 358-9400

Other practice location 2

1601 NW 114th St Ste 345
Clive, IA 50325-7036
Phone (515) 222-7337

Other practice location 3

1601 NW 114th St Ste 255
Clive, IA 50325-7036
Phone (515) 461-9780

Other identifiers 2

IdentifierTypeStateIssuer
CD3776OtherIARAILROAD MEDICARE
0207084MedicaidIA

Other names 4

  • MercyOne Clive Family Medicine Clinic Doing business as
  • MercyOne Clive Pediatrics Care Clinic Doing business as
  • MercyOne Des Moines Weight Loss & Nutrition Center Doing business as
  • MercyOne Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031112000238 IA Part B Supplier - Clinic/Group Practice 7911810882 Receives reassigned benefits from 558 practitioners

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0669980Mercyone Clive Pediatrics Care Clinic1601 NW 114TH Street, Suite 345, Des Moines, IA 50325Certificate of waiverMar 11, 2027
16D2265986Mercyone Urgent Care Clive1601 NW 114TH St Suite 255, Clive, IA 50325Certificate of waiverAug 3, 2026

National Provider Directory

National Provider Directory
Part of
Mercy West Radiology Ce

Locations

12493 University Ave
Ste 110
Des Moines, IA 50325
Phone (515) 358-9400

1601 NW 114th St
Ste 345
Des Moines, IA 50325
Phone (515) 222-7337

6601 SW 9th St
Ste 3
Des Moines, IA 50315
Phone (515) 461-9786

Practitioners & affiliated clinicians

Practitioners 565

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 565

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1487670923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674721",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674721",
            "telephone_number": "515-643-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW 114TH ST STE 247",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257036",
            "telephone_number": "515-222-7000",
            "fax_number": "515-222-7037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12493 University Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Clive",
            "state": "IA",
            "postal_code": "503258286",
            "country_code": "US",
            "telephone_number": "515-358-9400",
            "fax_number": "515-358-9420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 NW 114th St Ste 345",
            "address_purpose": "LOCATION",
            "city": "Clive",
            "state": "IA",
            "postal_code": "503257036",
            "country_code": "US",
            "telephone_number": "515-222-7337",
            "fax_number": "515-222-7340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 NW 114th St Ste 255",
            "address_purpose": "LOCATION",
            "city": "Clive",
            "state": "IA",
            "postal_code": "503257036",
            "country_code": "US",
            "telephone_number": "515-461-9780",
            "fax_number": "515-461-9779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY CLINICS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY CLINICS, INC.",
        "enumeration_date": "2006-07-15",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "WHIPPLE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "515-358-6956"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD3776",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207084",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MercyOne Clive Family Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Clive Pediatrics Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Des Moines Weight Loss & Nutrition Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Des Moines Weight Loss & Nutrition Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.