| Mercy Care North | |
|
5264 Council St Ne Suite 100 Cedar Rapids IA 52402-2471 | |
| (319) 369-4798 | |
| Not Available |
| Full Name | Mercy Care North |
|---|---|
| Speciality | Family Medicine |
| Location | 5264 Council St Ne, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Timothy L Charles (PRESIDENT AND CEO) |
| Authorized Official Contact | 3193986697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Care North Po Box 786 Cedar Rapids IA 52406-0786 Ph: () - | Mercy Care North 5264 Council St Ne Suite 100 Cedar Rapids IA 52402-2471 Ph: (319) 369-4798 |
| NPI Number | 1467659268 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 11/01/2018 |
| Medicare PECOS PAC ID | 2466343363 |
|---|---|
| Medicare Enrollment ID | O20040322000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467659268 | NPI | - | NPPES |
| 0462259 | Medicaid | IA | |
| 0201558 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Sudha R Anand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992765002 PECOS PAC ID: 6406752617 Enrollment ID: I20031209000734 |
| Provider Name | Timothy J Sagers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598725616 PECOS PAC ID: 3375449424 Enrollment ID: I20031209001037 |
| Provider Name | Vincent A Taeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770659591 PECOS PAC ID: 0941109359 Enrollment ID: I20040105000823 |
| Provider Name | Timothy J Quinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548220668 PECOS PAC ID: 3678464310 Enrollment ID: I20040323000513 |
| Provider Name | Diane S Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598724973 PECOS PAC ID: 1951391408 Enrollment ID: I20040517000039 |
| Provider Name | Jami A Maxson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467504506 PECOS PAC ID: 2961483664 Enrollment ID: I20040527001246 |
| Provider Name | Melinda S Brokaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659593572 PECOS PAC ID: 7416930854 Enrollment ID: I20040608000965 |
| Provider Name | Tony A Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407835283 PECOS PAC ID: 1850339870 Enrollment ID: I20050420000952 |
| Provider Name | Neil E Wickham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811974934 PECOS PAC ID: 6800887233 Enrollment ID: I20050822001375 |
| Provider Name | Stephen L Runde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780644286 PECOS PAC ID: 2860418076 Enrollment ID: I20051018000185 |
| Provider Name | Julie J Hoffmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225004161 PECOS PAC ID: 8022038397 Enrollment ID: I20051201000240 |
| Provider Name | Melanie K Stahlberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851353676 PECOS PAC ID: 3476563669 Enrollment ID: I20060503000060 |
| Provider Name | Carrie C Brown-benn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306854781 PECOS PAC ID: 4688679210 Enrollment ID: I20061003000438 |
| Provider Name | Matthew C Aucutt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194774406 PECOS PAC ID: 8820023641 Enrollment ID: I20061003000677 |
| Provider Name | Renee E Nydegger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154311728 PECOS PAC ID: 4385540905 Enrollment ID: I20061213000073 |
| Provider Name | Michael Hugh Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801982475 PECOS PAC ID: 8224004973 Enrollment ID: I20070827000810 |
| Provider Name | Wendy S Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124216676 PECOS PAC ID: 2365539574 Enrollment ID: I20071106000131 |
| Provider Name | Laurie L Pieper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508915703 PECOS PAC ID: 9537230560 Enrollment ID: I20080619000354 |
| Provider Name | Stephanie E Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811141765 PECOS PAC ID: 3577624774 Enrollment ID: I20081205000668 |
| Provider Name | Carla A Schulz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740369131 PECOS PAC ID: 5991605883 Enrollment ID: I20100302000777 |
| Provider Name | Matthew G Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780644849 PECOS PAC ID: 8123163805 Enrollment ID: I20100305000313 |
| Provider Name | John J Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184684854 PECOS PAC ID: 5799811543 Enrollment ID: I20100331000285 |
| Provider Name | Colleen L Keating |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295701373 PECOS PAC ID: 7214063007 Enrollment ID: I20100331000638 |
| Provider Name | Amy E Andersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932169778 PECOS PAC ID: 5395871180 Enrollment ID: I20100331000646 |
| Provider Name | Shane Arden Kasner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912966763 PECOS PAC ID: 6709914674 Enrollment ID: I20100513000695 |
| Provider Name | Joseph J Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427019561 PECOS PAC ID: 1658409487 Enrollment ID: I20100514000362 |
| Provider Name | Kristen D Barnette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134180276 PECOS PAC ID: 0749319101 Enrollment ID: I20100522000080 |
| Provider Name | Andrew P Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235190372 PECOS PAC ID: 7911036371 Enrollment ID: I20100522000088 |
| Provider Name | Roxanne M Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407824725 PECOS PAC ID: 1557490323 Enrollment ID: I20100603000965 |
| Provider Name | Nancy A Boelter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629015177 PECOS PAC ID: 0941498810 Enrollment ID: I20101217000910 |
| Provider Name | Sara M Hubbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356638266 PECOS PAC ID: 5698953974 Enrollment ID: I20110711000464 |
| Provider Name | Carol Ann C Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356455398 PECOS PAC ID: 0840184818 Enrollment ID: I20120514000378 |
| Provider Name | Mackenzie J Groteluschen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619227717 PECOS PAC ID: 3375793128 Enrollment ID: I20121101000323 |
| Provider Name | Meghan M Cooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851730238 PECOS PAC ID: 1153564646 Enrollment ID: I20130903000200 |
| Provider Name | Treesa A Silver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134421837 PECOS PAC ID: 7416187885 Enrollment ID: I20140304001111 |
| Provider Name | Jaclyn M Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417255340 PECOS PAC ID: 4284853912 Enrollment ID: I20140911001584 |
| Provider Name | Kristin L Gisselman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467890988 PECOS PAC ID: 4587987375 Enrollment ID: I20150204000720 |
| Provider Name | Carly Y Roskop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083096663 PECOS PAC ID: 3779896857 Enrollment ID: I20150717002374 |
| Provider Name | Tamara J Meier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720467376 PECOS PAC ID: 8426362591 Enrollment ID: I20150803001466 |
| Provider Name | Jennifer L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417314683 PECOS PAC ID: 3971807173 Enrollment ID: I20160209001570 |
| Provider Name | Elizabeth J Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700323862 PECOS PAC ID: 6204110919 Enrollment ID: I20170224000373 |
| Provider Name | Stephanie A Moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447781448 PECOS PAC ID: 6002193075 Enrollment ID: I20170428000866 |
| Provider Name | Stephanie L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467973420 PECOS PAC ID: 5294006938 Enrollment ID: I20170731000198 |
| Provider Name | Kim L Keiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912425380 PECOS PAC ID: 2668747270 Enrollment ID: I20171009000449 |
| Provider Name | Robert M Lancaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811409006 PECOS PAC ID: 0749202760 Enrollment ID: I20171206001579 |
| Provider Name | Christine L Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225525488 PECOS PAC ID: 3678828704 Enrollment ID: I20180613002950 |
| Provider Name | Shelby M Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750857264 PECOS PAC ID: 5294070058 Enrollment ID: I20181222000466 |
| Provider Name | Amanda L Brenneman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639658800 PECOS PAC ID: 5092051656 Enrollment ID: I20190118000733 |
| Provider Name | Rebekah A Siegert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447805320 PECOS PAC ID: 6709118870 Enrollment ID: I20191023001924 |
| Provider Name | Megan M O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760038509 PECOS PAC ID: 7810320173 Enrollment ID: I20191127002540 |
| Provider Name | Jamie L Duffy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356981518 PECOS PAC ID: 0840627352 Enrollment ID: I20200224000088 |
| Provider Name | Lindsay N Ehlers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316586159 PECOS PAC ID: 0143658773 Enrollment ID: I20200313002020 |
| Provider Name | Ryan M Winder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093320392 PECOS PAC ID: 1052722378 Enrollment ID: I20201117003352 |
| Provider Name | Hope E Breitbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568075331 PECOS PAC ID: 1052725553 Enrollment ID: I20210125000995 |
| Provider Name | Samantha M Pape |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134722747 PECOS PAC ID: 0143636092 Enrollment ID: I20210302000160 |
| Provider Name | Danielle M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174113864 PECOS PAC ID: 1456753359 Enrollment ID: I20210715000655 |
| Provider Name | Nicole J Sporrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942821244 PECOS PAC ID: 4789081167 Enrollment ID: I20210928001742 |
| Provider Name | Theresa J Hallengren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861161267 PECOS PAC ID: 6406254929 Enrollment ID: I20211013001118 |
| Provider Name | Brandy Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871263095 PECOS PAC ID: 9234527482 Enrollment ID: I20211021000497 |
| Provider Name | Sonya C Howald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306514898 PECOS PAC ID: 2668860206 Enrollment ID: I20211101000918 |
| Provider Name | Benjamin D Nordby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972765402 PECOS PAC ID: 2769661412 Enrollment ID: I20220425001460 |
| Provider Name | Carrie H Bayles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578294104 PECOS PAC ID: 5698157105 Enrollment ID: I20220801000538 |
| Provider Name | Stephanie M Lukaszka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073248316 PECOS PAC ID: 8628451010 Enrollment ID: I20220817003385 |
| Provider Name | Mary M Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174209647 PECOS PAC ID: 5092178624 Enrollment ID: I20230830002718 |
| Provider Name | Haley Lammers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588344329 PECOS PAC ID: 2163885690 Enrollment ID: I20230830002836 |
| Provider Name | Jennifer S Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396425047 PECOS PAC ID: 6103272406 Enrollment ID: I20231023002305 |
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Family Medicine Specialists, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 8th Ave Se, Cedar Rapids, IA 52401 Phone: 319-364-8704 Fax: 319-365-7747 | |
Mercycare Health Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 7th St Se, Suite 101, Cedar Rapids, IA 52401 Phone: 319-221-8627 Fax: 319-221-8563 | |
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