MERCY PHYSICIAN ASSOCIATES, INC
NPI 1255886388
Family Medicine in Cedar Rapids, IA

Active since August 18, 2016CLIA 16D2116232 · Waiver
777 76TH AVENUE DR SW, CEDAR RAPIDS, IA 52404(319) 558-0350(319) 558-0351 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2019, Aug 18, 2016 (2 updates tracked since 2016).

About Mercy Physician Associates, Inc NPPES

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

MERCY PHYSICIAN ASSOCIATES, INC (NPI 1255886388), doing business as Merycare Prarie Creek, is a healthcare organization registered as a family medicine in Cedar Rapids, Iowa and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through July 20, 2028 and lists Gregory Dewolf, Interim President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1255886388
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMERCY PHYSICIAN ASSOCIATES, INC
Location Address777 76TH AVENUE DR SWCedar Rapids, IA 52404-7006
Mailing AddressPo Box 1824Cedar Rapids, IA 52406-1824 · (319) 558-0350 · Fax (319) 558-0351
Fax(319) 558-0351
Organization SubpartYes
Authorized OfficialGregory DewolfInterim President & Ceo · (319) 398-6101
Enumeration DateAugust 18, 2016
Last NPPES UpdateJune 15, 20262 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
NPI 1255886388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
777 76TH AVENUE DR SW, Cedar Rapids, IA 52404

Other Names 1

Doing Business AsMerycare Prarie Creek

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2116232

Mercy Physician Associates, Inc Dba Mercycare Prairie Creek · Cedar Rapids, IA
Active · expires Jul 20, 2028
CLIA Number16D2116232
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorMichael Gomendoza
Laboratory Phone(319) 558-0350
Laboratory LocationMercy Physician Associates, Inc Dba Mercycare Prairie Creek777 76th Avenue Drive SW, Cedar Rapids, IA 52404
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
777 76TH AVENUE DR SW
CEDAR RAPIDS, IA 52404
Psychiatry & Neurology (Psychiatry)
777 76TH AVENUE DR SW
CEDAR RAPIDS, IA 52404
Physical Therapist
777 76TH AVENUE DR SW
CEDAR RAPIDS, IA 52404

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 Mercy Physician Associates, Inc's NPI number?

The NPI number for Mercy Physician Associates, Inc is 1255886388. It was assigned to this organization in the NPPES registry on August 18, 2016. The provider is doing business as Merycare Prarie Creek.

Where is Mercy Physician Associates, Inc located?

Mercy Physician Associates, Inc is located at 777 76th Avenue Dr SW, Cedar Rapids, IA 52404. The listed phone number is (319) 558-0350.

What is Mercy Physician Associates, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mercy Physician Associates, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2116232) is associated with this NPI, valid through July 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mercy Physician Associates, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Mercy Physician Associates, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mercy Physician Associates, Inc was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.