NPIMap

Organization Active NPI

Mercy Aco, LLC

Doing business as MercyOne PHSO

  • Health Educator
  • Clive, IA
National Provider Identifier
1720972045
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
MERCY ACO, LLC
Doing business as
MercyOne PHSO
Practice address
1449 NW 128TH St Ste 110
Clive, IA 50325-7425
Phone
(515) 358-9154
Fax
(515) 358-9161
NPI assigned
Jun 3, 2025
Last updated
Jun 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY ACO, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Sangeeta Sutradhar
Title
Interim VP
Phone
(515) 358-9147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X NU Primary

Addresses

Primary practice location

1449 NW 128TH St Ste 110
Clive, IA 50325-7425

Mailing address

1449 NW 128TH St
Box 3
Clive, IA 50325-7400
Phone (515) 358-9154

Other names 1

  • MercyOne PHSO Doing business as

National Provider Directory

National Provider Directory
Part of
Mercy Aco LLC

Locations

1449 NW 128th St
#3
Clive, IA 50325

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1720972045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 NW 128TH ST",
            "address_2": "BOX 3",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257400",
            "telephone_number": "515-358-9154",
            "fax_number": "515-358-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 NW 128TH ST STE 110",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257425",
            "telephone_number": "515-358-9154",
            "fax_number": "515-358-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY ACO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY ACO, LLC",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "SUTRADHAR",
        "authorized_official_first_name": "SANGEETA",
        "authorized_official_title_or_position": "INTERIM VP",
        "authorized_official_telephone_number": "515-358-9147"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MercyOne PHSO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne PHSO",
            "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 Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.