Active NPI
North Iowa Mercy Clinics
- Dermatology Physician
- Mason City, IA
National Provider Identifier
1962674598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- NORTH IOWA MERCY CLINICS
- Practice address
- 1421 4TH St SW
Mason City, IA 50401-2736 - Phone
- (641) 428-2080
- Fax
- (641) 428-5150
- NPI assigned
- Mar 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark C Trammel
- Title
- VP Finance
- Phone
- (641) 428-7984
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
1421 4TH St SW
Mason City, IA 50401-2736
Mailing address
1000 4TH St SW
Mason City, IA 50401-2800
Other names 2
- MERCY DERMATOLOGY CENTER
- MercyOne North Iowa Dermatology Care
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
| Direct Messaging Address | mercy.dermatology.center@trinityhealthia.medicity.net | Direct | MercyOne North Iowa |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Other NPIs on the same Medicare enrollment 39
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Pediatric Adolescent Medicine Physician
- Clear Lake, IA
- NPI 1093720708
O20031105000273
-
- Cardiovascular Disease Physician
- Mason City, IA
- NPI 1306018122
O20031105000273
-
- Obstetrics & Gynecology Physician
- Mason City, IA
- NPI 1306857347
O20031105000273
-
- Neurological Surgery Physician
- Mason City, IA
- NPI 1336665744
O20031105000273
-
- Cardiovascular Disease Physician
- Mason City, IA
- NPI 1457701989
O20031105000273
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D1083659 | Mercyone North Iowa Dermatology Care | Accreditation | Jan 30, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Mason City, IA
- NPI 1437143781
-
- Medical Physician Assistant
- Mason City, IA
- NPI 1881393072
-
- Family Nurse Practitioner
- Mason City, IA
- NPI 1417633033
-
- Family Nurse Practitioner
- Forest City, IA
- NPI 1811477383
-
- Pediatric Adolescent Medicine Physician
- Mason City, IA
- NPI 1821196684
-
- Physician Assistant
- Tinley Park, IL
- NPI 1619856010
-
- Physician Assistant
- Albert Lea, MN
- NPI 1558760512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772668800000",
"number": "1962674598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 4TH ST SW",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504012800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 4TH ST SW",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504012736",
"telephone_number": "641-428-2080",
"fax_number": "641-428-5150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH IOWA MERCY CLINICS",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-24",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A",
"authorized_official_last_name": "TRAMMEL",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "VP FINANCE",
"authorized_official_telephone_number": "641-428-7984"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mercy.dermatology.center@trinityhealthia.medicity.net",
"affiliation": "Y",
"endpointDescription": "Direct Email Address",
"affiliationName": "MercyOne North Iowa",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1421 4th St SW",
"city": "Mason City",
"state": "IA",
"country_code": "US",
"postal_code": "504012736",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "MERCY DERMATOLOGY CENTER",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MERCY DERMATOLOGY CENTER",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MercyOne North Iowa Dermatology Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mason City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.