NPIMap

Organization Active NPI

Mercy Medical Center

  • General Acute Care Hospital
  • Cedar Rapids, IA
National Provider Identifier
1720029333
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
570036H Issued in IA
Legal business name
MERCY MEDICAL CENTER
Practice address
701 10TH St SE
Cedar Rapids, IA 52403-1251
Phone
(319) 398-6011
Fax
(319) 398-6509
NPI assigned
Jun 8, 2006
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Gregory Dewolf
Title
Interim President & Ceo
Phone
(319) 398-6101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 570036H IA Primary

Addresses

Primary practice location

701 10TH St SE
Cedar Rapids, IA 52403-1251

Mailing address

701 10TH St SE
Cedar Rapids, IA 52403-1251
Phone (319) 398-6011

Other identifiers 4

IdentifierTypeStateIssuer
0600791MedicaidIA
A5240306OtherJOHN DEERE HEALTH CARE
160079OtherCOVENTRY HEALTH CARE
60079OtherWELLMARK, BLUE CROSS OF I

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031017000039 IA Part A Provider - Hospital 4183535271 Practice locations: Cedar Rapids, IA; Marion, IA; Hiawatha, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720029333. Details of each certification follow.

Hospital certification: CCN 160079

Legal name
MERCY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 11, 2015
Beds
347
Ownership / control type
Church
Organization structure
CorporationNon-profit
Enrollment address
701 10TH St SE
Cedar Rapids, IA 52403-1251
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Mercy Medical Center - Cedar RapidsCCN 160079 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Mercy Ekg SVCS10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1195 Boyson Rd
Hiawatha, IA 52233
Phone (319) 832-3910

999 35th St
Ste 100
Marion, IA 52302
Phone (319) 221-9999

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Gregory B Dewolf Individual Corporate OfficerInterim President & C.E.O Apr 4, 2026 100%
Corporate DirectorInterim President & C.E.O Apr 4, 2026 100%
W-2 Managing EmployeeAd; Apr 4, 2026 100%
Operational/Managerial ControlInterim President & C.E.O Apr 4, 2026 100%
Cheryle W Mitvalsky Individual Corporate DirectorBoard Member Nov 19, 2007
Maurita Soukup Individual Corporate DirectorBoard Member Nov 19, 2007
Fred J Pilcher Individual Corporate DirectorBoard Member Apr 1, 2014
Robert Cataldo Individual Corporate DirectorBoard Member Jul 1, 2017
Nancy L Kasparek Individual Corporate DirectorBoard Member Apr 1, 2014
Christopher D Dewolf Individual Corporate DirectorBoard Member Apr 1, 2014
Albert P Ruffalo Individual Corporate DirectorBoard Member Nov 19, 2007
Sharon Kerrigan Individual Corporate DirectorBoard Member Jul 1, 2017
Barrie W Ernst Individual Corporate DirectorBoard Member Apr 1, 2014
Barbara Allison Knapp Individual Corporate DirectorBoard Member Nov 19, 2007
Rupak H Patel Individual Corporate DirectorBoard Member Sep 28, 2006
Michele M Busse Individual Corporate DirectorBoard Member Nov 19, 2007
Joseph Malas Individual Corporate OfficerExecutive Vice President & C.F.O. Mar 30, 2026 100%
Corporate DirectorExecutive Vice President & C.F.O. Mar 30, 2026 100%
W-2 Managing Employee Mar 30, 2026 100%
Operational/Managerial ControlExecutive Vice President & C.F.O. Mar 30, 2026 100%
Charles a Rohde Individual Corporate DirectorBoard Member Nov 19, 2007
John-Paul E Besong Individual Corporate DirectorBoard Member Apr 1, 2014
Kyle D. Skogman Individual Corporate DirectorBoard Member Nov 19, 2007
Mary K Quass Individual Corporate DirectorBoard Member Nov 19, 2007

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Terrace Glen VillageMarion, IA, CCN 165625 Skilled nursing facility Adp of the SNF Nov 1, 2024
Hallmar VillageCedar Rapids, IA, CCN 165798 Skilled nursing facility Operational/Managerial Control (50%)
Adp of the SNF		 Aug 30, 2023
Oct 2, 2025
Mercy Home CareCedar Rapids, IA, CCN 167151 Home health agency Operational/Managerial Control Mar 19, 1962
Hospice of MercyHiawatha, IA, CCN 161512 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 1, 1989

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 76

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 76

Affiliated clinicians 719

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

View all 719

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1720029333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031251",
            "telephone_number": "319-398-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031251",
            "telephone_number": "319-398-6011",
            "fax_number": "319-398-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "DEWOLF",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "INTERIM PRESIDENT & CEO",
        "authorized_official_telephone_number": "319-398-6101"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IA",
            "license": "570036H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600791",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH CARE",
            "identifier": "A5240306",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH CARE",
            "identifier": "160079",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK, BLUE CROSS OF I",
            "identifier": "60079",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.