NPIMap

Organization Active NPI

Catholic Health Initiatives-Iowa Corp

Doing business as MercyOne Des Moines Medical Center

  • General Acute Care Hospital
  • Des Moines, IA
National Provider Identifier
1508964883
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
770158H Issued in IA
Legal business name
CATHOLIC HEALTH INITIATIVES-IOWA CORP
Doing business as
MercyOne Des Moines Medical Center
Practice address
1111 6TH Ave
Des Moines, IA 50314-2613
Phone
(515) 247-3121
NPI assigned
Sep 20, 2006
Last updated
Jun 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Kurt Andersen
Title
President
Phone
(515) 358-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 770158H IA Primary

Addresses

Primary practice location

1111 6TH Ave
Des Moines, IA 50314-2613

Mailing address

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-3121

Other identifiers 3

IdentifierTypeStateIssuer
160083OtherIAMEDICARE
0600833MedicaidIA
60083OtherIAWELLMARK OF IOWA

Other names 1

  • MercyOne Des Moines 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
O20031118000163 IA Part B Supplier - Clinic/Group Practice 5698683142 Receives reassigned benefits from 152 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greenfield, IA; Iowa City, IA; Indianola, IA; Knoxville, IA; Lake City, IA; Leon, IA; Manning, IA; Mt Pleasant, MO…
O20050207000360 IA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5698683142 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ankeny, IA
O20071106000163 IA Part A Provider - Hospital 5698683142 3 other NPIs on this enrollment

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508964883. Details of each certification follow.

Hospital certification: CCN 160083

Legal name
CATHOLIC HEALTH INITIATIVES-IOWA CORP
Doing business as
MERCYONE DES MOINES MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 10, 2017
Beds
649 (596 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
1111 6TH Ave
Des Moines, IA 50314-2613
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 8

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Mercyone Des Moines Medical CenterCCN 160083 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Christopher Nelson Individual Corporate DirectorBoard Member Jul 1, 2020
Neil R Horning Individual Corporate OfficerSecretary Jan 1, 2024
Corporate DirectorBoard Member Jul 1, 2020
Stephen R Nowak Individual Corporate DirectorBoard Member Jul 1, 2020
Timothy Miller Individual Corporate DirectorBoard Member Jul 1, 2020
Maurita Soukup Individual Corporate DirectorBoard Member Jul 1, 2020
Emily Abbas Individual Corporate DirectorBoard Member Jul 1, 2018
Michael C Fraizer Individual Corporate DirectorBoard Member Jun 30, 2022
Vanessa L Freitag Individual Corporate OfficerCoo Apr 15, 2024
Corporate DirectorBoard Member Apr 15, 2024
W-2 Managing EmployeeCoo Apr 15, 2024
Brian Johnson Individual Corporate OfficerTreasurer Jan 1, 2025
Corporate DirectorBoard Member Jul 1, 2018
Mercy Health Network Inc Organization, Des Moines, IA Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2022 100%
Theresa McConeghey Individual Corporate OfficerChair Jan 1, 2018
Corporate DirectorBoard Member Jan 1, 2018
Kurt a Andersen Individual Corporate OfficerPresident Central Division Mercyone Jan 24, 2024
W-2 Managing EmployeePresident Central Division Mercyone Jan 24, 2024
Patricia McDermott Individual Corporate DirectorBoard Member Jun 1, 2017
Erin E Netteland Sandvig Individual Corporate DirectorBoard Member Jun 30, 2022
Paul Hedinger Individual Corporate OfficerVP of Finance Apr 28, 2026
W-2 Managing EmployeeVP of Finance Apr 28, 2026
Trinity Health Corporation Organization, Livonia, MI Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Sep 1, 2022 100%

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
Mercyone Centerville Medical CenterCenterville, IA, CCN 161377 Hospital 5% Or Greater Indirect Ownership Interest (100%) Sep 1, 2022
Mercyone Centerville Medical CenterCenterville, IA, CCN 16Z377 Hospital 5% Or Greater Indirect Ownership Interest (100%) Sep 1, 2022
Mercyone Newton Medical CenterNewton, IA, CCN 160032 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2022
Mercyone Newton Medical Center-Swing BedNewton, IA, CCN 16U032 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2022
Mercy Rehabilitation HospitalClive, IA, CCN 163025 Hospital 5% Or Greater Direct Ownership Interest (51%) Apr 26, 2016
Clive Behavioral HealthClive, IA, CCN 164007 Hospital 5% Or Greater Direct Ownership Interest (48%) May 28, 2018
Mercyone Centerville Medical ClinicCenterville, IA, CCN 168533 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2022

Owned or controlled facilities with NPI records 7

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

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 140

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 140

Affiliated clinicians 1,224

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

View all 1,224

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1508964883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142613",
            "telephone_number": "515-247-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142613",
            "telephone_number": "515-247-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HEALTH INITIATIVES-IOWA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-358-9200"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IA",
            "license": "770158H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "160083",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600833",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK OF IOWA",
            "identifier": "60083",
            "state": "IA"
        }
    ],
    "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",
            "address_2": "#302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MercyOne Des Moines Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Des Moines Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.