NPIMap

Organization Active NPI

Gracemed Health Clinic, Inc

Doing business as GraceMed Meyer Family Clinic

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
National Provider Identifier
1932579513
Registry record updated Sep 8, 2025
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 Meyer Family Clinic
Practice address
755 W. Lincoln St
Wichita, KS 67213
Phone
(316) 866-2000
Fax
(316) 866-2084
NPI assigned
Sep 25, 2015
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 Primary

Addresses

Primary practice location

755 W. Lincoln St
Wichita, KS 67213

Mailing address

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

Other names 1

  • GraceMed Meyer 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
O20151005000104 KS Part A Provider - Federally Qualified Health Center (FQHC) 9830098185 Practice locations: Wichita, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932579513. Details of each certification follow.

Federally qualified health center certification: CCN 171857

Legal name
GRACEMED HEALTH CLINIC INC
Doing business as
GRACEMED MEYER FAMILY CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 5, 2015
Last certification
Oct 5, 2015
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jun 21, 1994 in KS
Enrollment address
755 W Lincoln St
Wichita, KS 67213-4527

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
Gracemed Health Clinic Inc17 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 12

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

NameRoleSinceShare
Julie Hedrick Individual Corporate OfficerBoard Member Jan 1, 2020
Morley Healy Individual Corporate OfficerBoard Member Jan 1, 2020
Carolyn Ward Individual Corporate OfficerBoard Member Jan 1, 2020
Rick Woods Individual Corporate OfficerBoard Member Jan 1, 2018
Robert Dakin Individual Corporate OfficerBoard Member Jan 1, 2014
Fred Ervin Individual Corporate OfficerBoard Member Jan 1, 2014
Marlon King Individual Corporate OfficerBoard Member Jan 1, 2017
Fredrick R Stephen Individual Corporate OfficerBoard Member Jan 1, 2020
Claudio Frank Choriego Individual Corporate OfficerBoard Member Jan 1, 2020
Venus Lee Individual Corporate OfficerCeo Jan 23, 2020
W-2 Managing EmployeeCeo Jan 23, 2020
Tim Norton Individual Corporate OfficerBoard Member Jan 1, 2020
Gracemed Health Clinic Inc Organization, Wichita, KS Corporation, Non-profit Operational/Managerial Control Oct 15, 2015 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 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
Gracemed Clearwater Family ClinicClearwater, KS, CCN 171883 Federally qualified health center Operational/Managerial Control (100%) Nov 19, 2018

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 3

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": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1932579513",
    "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": "755 W. LINCOLN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67213",
            "telephone_number": "316-866-2000",
            "fax_number": "316-866-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEMED HEALTH CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-25",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GraceMed Meyer Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GraceMed Meyer Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.