NORTH IOWA MERCY CLINICS
NPI 1093720708
Pediatrics - Adolescent Medicine in Clear Lake, IA

Q: What is North Iowa Mercy Clinics's NPI number?

The NPI number for North Iowa Mercy Clinics is 1093720708. It was assigned to this organization in the NPPES registry on July 30, 2006. The provider is doing business as MercyOne Clear Lake Pediatric & Adolescent Clinic.

Q: What is North Iowa Mercy Clinics's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since July 30, 2006

401 S 15TH ST, CLEAR LAKE, IA 50428(641) 357-7442(641) 357-6020 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 5, 2026, Nov 24, 2020, Feb 19, 2020 and 1 more (4 updates tracked since 2017).

On this page

About North Iowa Mercy Clinics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH IOWA MERCY CLINICS (NPI 1093720708), doing business as Mercyone Clear Lake Pediatric & Adolescent Clinic, is a healthcare organization registered as an adolescent medicine in Clear Lake, Iowa and active in the NPI registry since July 2006. The organization lists Mark C Trammel, Vp Finanace, as its authorized official.

NPPES Registry Identity

NPI1093720708

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NameNORTH IOWA MERCY CLINICS

Location Address401 S 15TH STClear Lake, IA 50428-2303

Mailing Address1000 4th St SwMason City, IA 50401-2800 · (641) 357-7442

Phone(641) 357-7442

Fax(641) 357-6020

Organization SubpartNo

Authorized OfficialMark C TrammelVp Finanace · (641) 428-7984

Enumeration DateJuly 30, 2006

Last NPPES UpdateMarch 5, 20264 updates tracked since enumeration

NPPES CertifiedMarch 5, 2026

✔ NPI 1093720708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

401 S 15TH ST, Clear Lake, IA 50428

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Other Names 1

Doing Business AsMercyone Clear Lake Pediatric & Adolescent Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Iowa Mercy Clinics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

419

Medicare enrollment records show 419 clinicians reassign Medicare billing to North Iowa Mercy Clinics, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 197 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner73

Certified Registered Nurse Anesthetist (CRNA)55

Family Practice44

Internal Medicine26

Cardiovascular Disease (Cardiology)23

Emergency Medicine20

Anesthesiology17

Obstetrics/Gynecology17

41 other specialties144

Nearest to this location (20)

See all 419

Kristin Avery, DO

Pediatric Medicine

NPI 1710415005

401 S 15TH ST
Clear Lake, IA 50428

(641) 357-7442

✔ PECOSSame address

Angali Henry, M.D.

Pediatric Medicine

NPI 1326204686

401 S 15TH ST
Clear Lake, IA 50428

(641) 357-7442

✔ PECOSSame address

Tate Lage, D.O.

Pediatric Medicine

NPI 1770849333

401 S 15TH ST
Clear Lake, IA 50428

(641) 357-7442

✔ PECOSSame address

Kelly Nieman, ARNP

Nurse Practitioner

NPI 1720580277

401 SOUTH 15TH STREET
Clear Lake, IA 50428

(641) 357-7442

✔ PECOSSame address

Mckenzie Brekken, DO

Family Practice

NPI 1144889544

1410 6TH AVE S
Clear Lake, IA 50428

(641) 357-2191

✔ PECOS✔ Accepts MedicareSame address

Traci Goll, ARNP

Nurse Practitioner

NPI 1164054755

1410 6TH AVE S
Clear Lake, IA 50428

(641) 357-2191

✔ PECOS✔ Accepts MedicareSame address

Anne Jones, ARNP

Nurse Practitioner

NPI 1801337795

1410 6TH AVE S
Clear Lake, IA 50428

(641) 357-2191

✔ PECOS✔ Accepts MedicareSame address

Suzanne Kersbergen, DO

Family Practice

NPI 1770710980

1410 6TH AVE SO
Clear Lake, IA 50428

(641) 357-2191

✔ PECOSSame address

Taylor May, MD

Family Practice

NPI 1619645082

1410 6TH AVE S
Clear Lake, IA 50428

(641) 357-2191

✔ PECOS✔ Accepts MedicareSame address

Tracy Mixdorf, DO

Family Practice

NPI 1578573846

1410 6TH AVE S
Clear Lake, IA 50428

(641) 437-2191

✔ PECOS✔ Accepts MedicareSame address

Morgan Ostrander, DO

Family Practice

NPI 1861136178

1410 6TH AVE S
Clear Lake, IA 50428

(641) 357-2191

✔ PECOS✔ Accepts MedicareSame address

Lexa Starbeck, ARNP

Nurse Practitioner

NPI 1457642910

1410 6TH AVE S
Clear Lake, IA 50428

(641) 357-2191

✔ PECOS✔ Accepts MedicareSame address

Solomon Ondoma, M.B., B.CH, MD

Neurosurgery

NPI 1346538527

MERCYONE NORTH IOWA NEUROSURGERY CARE 1010 4TH STREET SW, SUITE 105
Mason City, IA 50401

(641) 428-7847

✔ PECOS✔ Accepts Medicare5.2 mi

Sadie Bohl

Nurse Practitioner

NPI 1821694258

910 N EISENHOWER AVE
Mason City, IA 50401

(641) 428-5911

✔ PECOS✔ Accepts Medicare5.5 mi

Hashim Eldadah, M.D.

Pediatric Medicine

NPI 1578559761

910 N EISENHOWER AVE MERCY PEDIATRIC & ADOLESCENT CLINIC
Mason City, IA 50401

(641) 428-5437

✔ PECOS5.5 mi

Mark Johnson, MD

Endocrinology

NPI 1013923127

910 N EISENHOWER AVE
Mason City, IA 50401

(641) 428-7799

✔ PECOS✔ Accepts Medicare5.5 mi

Erin Peterson, DO

Physical Medicine and Rehabilitation

NPI 1417065608

910 N EISENHOWER AVE
Mason City, IA 50401

(641) 428-5911

✔ PECOS✔ Accepts Medicare5.5 mi

Aileen Prabhakaran, MD

Family Practice

NPI 1578792289

910 N EISENHOWER AVE
Mason City, IA 50401

(641) 428-7799

✔ PECOS✔ Accepts Medicare5.5 mi

Jennifer Kuntz, CRNA DNP

Certified Registered Nurse Anesthetist (CRNA)

NPI 1043550817

2235 AUGUSTA DR
Mason City, IA 50401

(642) 425-0714

✔ PECOS✔ Accepts Medicare6.4 mi

Janice Kirsch, MD

Internal Medicine

NPI 1992809636

1631 4TH ST SW
Mason City, IA 50401

(641) 422-6000

✔ PECOS✔ Accepts Medicare7.4 mi

See all 419 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Iowa Mercy Clinics's NPI number?

The NPI number for North Iowa Mercy Clinics is 1093720708. It was assigned to this organization in the NPPES registry on July 30, 2006. The provider is doing business as MercyOne Clear Lake Pediatric & Adolescent Clinic.

Where is North Iowa Mercy Clinics located?

North Iowa Mercy Clinics is located at 401 S 15th St, Clear Lake, IA 50428. The listed phone number is (641) 357-7442.

What is North Iowa Mercy Clinics's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is North Iowa Mercy Clinics enrolled in Medicare?

Yes. North Iowa Mercy Clinics is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Iowa Mercy Clinics?

According to the CMS Revalidation Reassignment List (October 2026 release), 419 clinicians in 49 Medicare specialties reassign their Medicare billing to North Iowa Mercy Clinics. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (73), Certified Registered Nurse Anesthetist (CRNA) (55) and Family Practice (44). Of these, 12 practice at this address and 197 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for North Iowa Mercy Clinics was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.