MERCY PHYSICIAN ASSOCIATES, INC
NPI 1255886388
Family Medicine in Cedar Rapids, IA
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
Specialties & Licenses 2
Other Names 1
Group Practice 2
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mercy Physician Associates, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
108Medicare enrollment records show 108 clinicians reassign Medicare billing to Mercy Physician Associates, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 70 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 108Cedar Rapids, IA 52404
Cedar Rapids, IA 52401
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, IAFrequently 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.
Is Mercy Physician Associates, Inc enrolled in Medicare?
Yes. Mercy Physician Associates, Inc is registered in the Medicare PECOS enrollment system.
When is Mercy Physician Associates, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Iowa, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mercy Physician Associates, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 108 clinicians in 9 Medicare specialties reassign their Medicare billing to Mercy Physician Associates, Inc. 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 (55), Family Practice (36) and Internal Medicine (7). Of these, 1 practice at this address and 70 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 4 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.
# Mercy Physician Associates, Inc · NPI 1255886388
Family Medicine organization in Cedar Rapids, Iowa. Organization record, active in the CMS NPPES registry since August 18, 2016.
## Identity
- **NPI:** 1255886388 (Entity type: Organization)
- **Enumerated:** August 18, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Merycare Prarie Creek (Doing Business As)
- **Organization subpart:** Yes (part of Mercy Physician Associates, Inc)
- **Authorized official:** Gregory Dewolf, INTERIM PRESIDENT & CEO
## Practice location
- **Address:** 777 76TH AVENUE DR SW, Cedar Rapids, IA 52404-7006
- **Phone:** (319) 558-0350 · **Fax:** (319) 558-0351
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Iowa, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 108 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (55), Family Practice (36), Internal Medicine (7); 1 practice at this address and 70 within 10 miles; [full list](https://npiprofile.com/npi/1255886388/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 15, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255886388) · Data from the CMS NPPES public registry.