NPIMap

Organization Active NPI

Gracemed Health Clinic, Inc

Doing business as GraceMed Clearwater Family Clinic

  • Federally Qualified Health Center (FQHC)
  • Clearwater, KS
National Provider Identifier
1568947737
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GRACEMED HEALTH CLINIC, INC
Doing business as
GraceMed Clearwater Family Clinic
Practice address
101 E Ross St
Clearwater, KS 67026-7824
Phone
(316) 866-2000
NPI assigned
Oct 3, 2018
Last updated
Jun 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Julie Elder, DO
Title
Ceo
Phone
(316) 866-2066

Specialties & licenses 1

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

Addresses

Primary practice location

101 E Ross St
Clearwater, KS 67026-7824

Mailing address

1150 N Broadway Ave
Wichita, KS 67214-2805
Phone (316) 866-2000

Other identifiers 1

IdentifierTypeStateIssuer
171883OtherKSMEDICARE

Other names 1

  • GraceMed Clearwater Family Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181018002317 KS Part A Provider - Federally Qualified Health Center (FQHC) 9830098185 Practice locations: Clearwater, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568947737. Details of each certification follow.

Federally qualified health center certification: CCN 171883

Legal name
GRACEMED HEALTH CLINIC INC
Doing business as
GRACEMED CLEARWATER FAMILY CLINIC
Organization structure
CorporationNon-profit
Incorporated
Jun 21, 1994 in KS
Enrollment address
101 E Ross St
Clearwater, KS 67026-7824

Other NPIs with the same Medicare PAC ID 13

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

View all 13

National Provider Directory

National Provider Directory
Tax ID family
United Methodist Health17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Venus Lee Individual Corporate OfficerCeo Jan 23, 2010
W-2 Managing EmployeeCeo Jan 23, 2010
Gracemed Health Clinic Inc Organization, Wichita, KS Corporation, Non-profit Operational/Managerial Control Nov 19, 2018 100%

Owners & managing parties with NPI records 13

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

View all 13

All facility ownership & control disclosures 9

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

FacilityTypeRoleSince
Gracemed Good Samaritan ClinicWichita, KS, CCN 171837 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2006
Gracemed Mother Mary Anne ClinicWichita, KS, CCN 171841 Federally qualified health center Operational/Managerial Control (100%) Feb 23, 2012
Gracemed Dodge Family ClinicWichita, KS, CCN 171847 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2013
Gracemed Oaklawn Family ClinicWichita, KS, CCN 171852 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 28, 2018
Jul 28, 2014
Gracemed Jardine Family ClinicWichita, KS, CCN 171855 Federally qualified health center Operational/Managerial Control (100%) Jul 1, 2015
Gracemed Meyer Family ClinicWichita, KS, CCN 171857 Federally qualified health center Operational/Managerial Control (100%) Oct 15, 2015
Gracemed Highland Park Family ClinicTopeka, KS, CCN 171866 Federally qualified health center Operational/Managerial Control (100%) Jul 1, 2016
Gracemed Capitol Family ClinicTopeka, KS, CCN 171864 Federally qualified health center Operational/Managerial Control (100%) Jul 1, 2016
Gracemed Virginia & George Ablah Family ClinicWichita, KS, CCN 171865 Federally qualified health center Operational/Managerial Control (100%) Mar 15, 2016

Owned or controlled facilities with NPI records 10

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

Facilities with the same owner 9

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

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": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1568947737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N BROADWAY AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142805",
            "telephone_number": "316-866-2000",
            "fax_number": "316-866-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E ROSS ST",
            "city": "CLEARWATER",
            "state": "KS",
            "postal_code": "670267824",
            "telephone_number": "316-866-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEMED HEALTH CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-866-2066",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "171883",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GraceMed Clearwater Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GraceMed Clearwater Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, KS

Sources for this page

Verify at the official NPI Registry.