MERCY CARE VERNON VILLAGE
NPI 1417153941
Family Medicine in Cedar Rapids, IA

Q: What is Mercy Physician Associates, Inc's NPI number?

The NPI number for Mercy Physician Associates, Inc is 1417153941. It was assigned to this organization in the NPPES registry on June 22, 2007. The provider is doing business as Mercy Care Vernon Village.

Q: What is Mercy Physician Associates, Inc's specialty?

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

Active since June 22, 2007CLIA 16D0387008 · Waiver

3933 MOUNT VERNON RD SE, CEDAR RAPIDS, IA 52403(319) 369-4798 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mercy Care Vernon Village NPPES

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

MERCY CARE VERNON VILLAGE (NPI 1417153941) is a healthcare organization registered as a family medicine in Cedar Rapids, Iowa and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through January 17, 2027 and lists Annette J Stanton, Sr Director, as its authorized official.

NPPES Registry Identity

NPI1417153941

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMERCY PHYSICIAN ASSOCIATES, INC

Location Address3933 MOUNT VERNON RD SECedar Rapids, IA 52403-3869

Mailing AddressPo Box 1824Cedar Rapids, IA 52406-1824

Phone(319) 369-4798

Organization SubpartNo

Authorized OfficialAnnette J StantonSr Director · (319) 369-4512

Enumeration DateJune 22, 2007

Last NPPES UpdateJuly 12, 2016

✔ NPI 1417153941 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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

3933 MOUNT VERNON RD SE, Cedar Rapids, IA 52403

Open in Google Maps ↗

Other Names 1

Doing Business AsMercy Care Vernon Village

Other Identifiers 3

Medicaid0148098IA

Medicaid0792986IA

Medicare PIN56568IA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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 16D0387008

Mercycare Vernon Village · Cedar Rapids, IA

Active · expires Jan 17, 2027

CLIA Number16D0387008

Laboratory TypePhysician Office

Certificate Effective DateJanuary 18, 2025

Certificate Expiration DateJanuary 17, 2027

Laboratory DirectorDr. Kristin L. Gisselman

Laboratory Phone(319) 363-8148

Laboratory LocationMercycare Vernon Village3933 Mount Vernon Road SE, Cedar Rapids, IA 52403

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

THOMAS SCHROEDER MD

Family Medicine