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

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: November 08, 2026.

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
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

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

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 Care Vernon Village 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.

StateEnrollment IDDue date
StateIowaEnrollment IDO20040120000805Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

108

Medicare enrollment records show 108 clinicians reassign Medicare billing to Mercy Care Vernon Village, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 71 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner55
Family Practice36
Internal Medicine7
Nephrology4
Cardiovascular Disease (Cardiology)2
Endocrinology1
Preventive Medicine1
Psychiatry1
1 other specialty1

Nearest to this location (20)

See all 108
Family Practice
NPI 1730199431
3933 MOUNT VERNON RD SE
Cedar Rapids, IA 52403
(319) 390-3974
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1861460495
3933 MOUNT VERNON RD SE
Cedar Rapids, IA 52403
(319) 363-8148
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134421837
3933 MOUNT VERNON RD SE
Cedar Rapids, IA 52403
(319) 390-3974
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1396425047
947 14TH AVE SE
Cedar Rapids, IA 52401
(319) 363-0416
✔ PECOS2.1 mi
Family Practice
NPI 1568438646
1444 2ND AVE SE
Cedar Rapids, IA 52403
(319) 363-2929
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1073866331
701 10TH ST SE
Cedar Rapids, IA 52403
(319) 398-6011
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1174209647
701 10TH ST SE
Cedar Rapids, IA 52403
(319) 398-6011
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1861972424
701 10TH ST SE
Cedar Rapids, IA 52403
(319) 363-8303
✔ PECOS✔ Accepts Medicare2.3 mi
Cardiovascular Disease (Cardiology)
NPI 1841603172
788 8TH AVENUE SE SUITE 400
Cedar Rapids, IA 52401
(319) 832-2328
✔ PECOS✔ Accepts Medicare2.3 mi
Family Practice
NPI 1801982475
788 8TH AVENUE SE SUITE 204
Cedar Rapids, IA 52401
(319) 398-6342
✔ PECOS2.3 mi
Internal Medicine
NPI 1619001781
543 7TH ST SE INTERNIST ASSOCIATES OF IOWA
Cedar Rapids, IA 52401
(319) 861-7600
✔ PECOS✔ Accepts Medicare2.5 mi
Internal Medicine
NPI 1194772079
543 7TH ST SE
Cedar Rapids, IA 52401
(319) 369-4505
✔ PECOS✔ Accepts Medicare2.5 mi
Internal Medicine
NPI 1851353676
543 7TH ST SE
Cedar Rapids, IA 52401
(319) 369-4505
✔ PECOS✔ Accepts Medicare2.5 mi
Nephrology
NPI 1285690412
543 7TH ST SE
Cedar Rapids, IA 52401
(319) 369-4505
✔ PECOS✔ Accepts Medicare2.5 mi
Nephrology
NPI 1154377463
543 7TH STREET SE
Cedar Rapids, IA 52401
(319) 861-7600
✔ PECOS✔ Accepts Medicare2.5 mi
Nephrology
NPI 1154975928
543 7TH ST SE
Cedar Rapids, IA 52401
(319) 861-7600
✔ PECOS✔ Accepts Medicare2.5 mi
Cardiovascular Disease (Cardiology)
NPI 1780090241
THE HEART CENTER AT MERCY 846 9TH AVENUE SE
Cedar Rapids, IA 52401
(319) 832-2328
✔ PECOS✔ Accepts Medicare3.2 mi
Registered Dietitian or Nutrition Professional
NPI 1780003285
3235 OAKLAND RD NE
Cedar Rapids, IA 52402
(319) 366-7756
✔ Accepts Medicare3.5 mi
Family Practice
NPI 1992765002
5264 COUNCIL ST NE
Cedar Rapids, IA 52402
(319) 221-8444
✔ PECOS✔ Accepts Medicare4.4 mi
Endocrinology
NPI 1780769109
5264 COUNCIL ST NE
Cedar Rapids, IA 52402
(319) 369-4505
✔ PECOS✔ Accepts Medicare4.4 mi
See all 108 clinicians

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 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.

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 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.

Where is Mercy Physician Associates, Inc located?

Mercy Physician Associates, Inc is located at 3933 Mount Vernon Rd SE, Cedar Rapids, IA 52403. The listed phone number is (319) 369-4798.

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, 3 practice at this address and 71 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 16D0387008) is associated with this NPI, valid through January 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mercy Physician Associates, Inc accept?

Health plans from Medica 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 July 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.