CENTERVILLE MEDICAL CLINIC-MERCY
NPI 1679700173
Family Medicine in Centerville, IA
About Centerville Medical Clinic-mercy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTERVILLE MEDICAL CLINIC-MERCY (NPI 1679700173) is a healthcare organization registered as a family medicine in Centerville, Iowa and active in the NPI registry since June 2009. The organization lists Pam Young, Business Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Centerville Medical Clinic-mercy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
57Medicare enrollment records show 57 clinicians reassign Medicare billing to Centerville Medical Clinic-Mercy, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 12
Nearest to this location (20)
See all 57Source: 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 Mercy Medical Center-Centerville's NPI number?
The NPI number for Mercy Medical Center-Centerville is 1679700173. It was assigned to this organization in the NPPES registry on June 11, 2009. The provider is doing business as Centerville Medical Clinic-Mercy.
Where is Mercy Medical Center-Centerville located?
Mercy Medical Center-Centerville is located at 19876 St. Joseph's Drive, Centerville, IA 52544. The listed phone number is (641) 856-8684.
What is Mercy Medical Center-Centerville's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mercy Medical Center-Centerville enrolled in Medicare?
Yes. Mercy Medical Center-Centerville is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mercy Medical Center-Centerville?
According to the CMS Revalidation Reassignment List (October 2026 release), 57 clinicians in 12 Medicare specialties reassign their Medicare billing to Mercy Medical Center-Centerville. 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 (21), Emergency Medicine (10) and Certified Registered Nurse Anesthetist (CRNA) (7). Of these, 10 practice 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 Mercy Medical Center-Centerville was last updated on June 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Centerville Medical Clinic-Mercy · NPI 1679700173
Family Medicine organization in Centerville, Iowa. Organization record, active in the CMS NPPES registry since June 11, 2009.
## Identity
- **NPI:** 1679700173 (Entity type: Organization)
- **Enumerated:** June 11, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Mercy Medical Center-Centerville
- **Organization subpart:** No
- **Authorized official:** Pam Young, BUSINESS OFFICE MANAGER
## Practice location
- **Address:** 19876 ST. JOSEPH'S DRIVE, Centerville, IA 52544
- **Phone:** (641) 856-8684
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 57 clinicians in 12 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (21), Emergency Medicine (10), Certified Registered Nurse Anesthetist (CRNA) (7); 10 practice within 10 miles; [full list](https://npiprofile.com/npi/1679700173/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2010
- **Other identifiers:** Other IB1441
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Source: [NPI Profile](https://npiprofile.com/npi/1679700173) · Data from the CMS NPPES public registry.