Mercy Specialty Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MERCY SPECIALTY CLINIC

Doing business as

MercyOne Clinton Urgent Care

Practice address

2400 Lillian Way
Clinton, IA 52732-2001

Phone

(563) 243-1200

Fax

(563) 242-0671

NPI assigned

Apr 29, 2019

Last updated

Oct 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mellissa Wood

Title

Coo/Cno

Phone

(563) 244-5608

Specialties & licenses 1

Addresses

Other names 1

• MercyOne Clinton Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• Mercy Specialty Clinic

  dba MercyOne DeWitt Family Medicine

  • Family Medicine Physician
  • De Witt, IA
  • NPI 1235793829

  O20071019000139

  Same enrollment
• Mercy Specialty Clinic

  dba MercyOne Clinton North Health Plaza

  • Family Medicine Physician
  • Clinton, IA
  • NPI 1275197998

  O20071019000139

  Same enrollment
• Mercy Specialty Clinic

  dba MercyOne Specialty Care

  • Multi-Specialty Clinic/Center
  • Clinton, IA
  • NPI 1386832764

  O20071019000139

  Same enrollment

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

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Anis U Ansari, M.D.

  • Nephrology Physician
  • Clinton, IA
  • NPI 1487602553
  NPD
• Virgilio D Corpuz, M.D.

  • Pediatrics Physician
  • Clinton, IA
  • NPI 1831148774
  NPD
• Hyder Ali Khan, M.D.

  • Allergy Physician
  • Dubuque, IA
  • NPI 1134170962
  NPD
• Kristie A Melvin, ARNP, DNP

  • Family Nurse Practitioner
  • Clinton, IA
  • NPI 1356827802
  NPD
• Kristine M. Morland-Schultz, APN

  • Nurse Practitioner
  • Sterling, IL
  • NPI 1922383280
  NPD

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1528622131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S ILLINOIS AVE STE 103",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504015489",
            "telephone_number": "641-428-3900",
            "fax_number": "641-428-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LILLIAN WAY",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322001",
            "telephone_number": "563-243-1200",
            "fax_number": "563-242-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY SPECIALTY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MELLISSA",
        "authorized_official_title_or_position": "COO/CNO",
        "authorized_official_telephone_number": "563-244-5608"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MercyOne Clinton Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Clinton Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Medical Center-Clinton, Inc.
• Mercy Medical Center-Clinton, Inc. (Mercy Living Center North)
• Mercy Medical Center-Clinton, Inc. (Wyndcrest Nursing Facility)
• Mercy Specialty Clinic (MercyOne Clinton North Health Plaza)
• Mercy Specialty Clinic (MercyOne Specialty Care)
• Mercyone Urgentcare
• Mercyone Urgentcare
• Stephen James Mericle, MD
• Dorothy Metz, ARNP
• Janeen Meyer, LISW

• Family Medicine Physician in Clinton, IA
• Providers in Clinton, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.