Bartels Lutheran Home

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

090286 Issued in IA

Legal business name

BARTELS LUTHERAN HOME

Doing business as

Bartels Lutheran Retirement Community / Woodland Terrace

Practice address

1922 5TH Ave NW
Waverly, IA 50677-1903

Phone

(319) 352-4540

Fax

(319) 352-2161

NPI assigned

Sep 30, 2005

Last updated

Jul 30, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paula Geise

Title

President/Ceo

Phone

(319) 352-4540

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Bartels Lutheran Retirement Community / Woodland Terrace Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013904432. Details of each certification follow.

• CCN 165442 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165442

Legal name

BARTELS LUTHERAN HOME

Doing business as

WOODLAND TERRACE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Apr 1, 2002

Last certification

May 8, 2025

Beds

100

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

1922 5TH Ave NW
Waverly, IA 50677-1903

Nursing home name

WOODLAND TERRACE

Listed as

Woodland TerraceCCN 165442 · All quality measures

Overall star rating

5 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Other

Certified

Apr 1, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10079.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Lee O Fagre, MD

  • Family Medicine Physician
  • Waverly, IA
  • NPI 1982649018

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Fox Rehab PT Ia PLLC

  • Physical Therapist
  • Norwalk, IA
  • NPI 1730840240

  Adp of the SNF

  CMS ownership
• Ryka Incorporated

  dba Meyer Pharmacy

  • Community/Retail Pharmacy
  • Waverly, IA
  • NPI 1194876581

  Adp of the SNF

  CMS ownership

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jodi Bangasser, ARNP

  • Primary Care Nurse Practitioner
  • Charles City, IA
  • NPI 1023465267

  Nursing home

  Care Compare affiliation
• Renu Bansal, MD

  • Internal Medicine Physician
  • Waterloo, IA
  • NPI 1225238280

  Nursing home

  Care Compare affiliation
• Julie Marie Cousin, NP

  • Family Nurse Practitioner
  • Waverly, IA
  • NPI 1598238347

  Nursing home

  Care Compare affiliation
• Lee O Fagre, MD

  • Family Medicine Physician
  • Waverly, IA
  • NPI 1982649018

  Nursing home

  Care Compare affiliation
• Christopher James Goetzinger, MD

  • Family Medicine Physician
  • Waverly, IA
  • NPI 1912343609

  Nursing home

  Care Compare affiliation
• Timothy C Horrigan, MD

  • Family Medicine Physician
  • Waverly, IA
  • NPI 1467430181

  Nursing home

  Care Compare affiliation
• Jodi Kay Walther, NP-C

  • Family Nurse Practitioner
  • Cedar Falls, IA
  • NPI 1932456035

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1013904432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 5TH AVE NW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506771903",
            "telephone_number": "319-352-4540",
            "fax_number": "319-352-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 5TH AVE NW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506771903",
            "telephone_number": "319-352-4540",
            "fax_number": "319-352-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTELS LUTHERAN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "GEISE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "319-352-4540"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": "090286",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "090286",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0800169",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bartels Lutheran Retirement Community / Woodland Terrace",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bartels Lutheran Retirement Community / Woodland Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Shelby Bennett, LISW

• Nursing Facility/Intermediate Care Facility in Waverly, IA
• Providers in Waverly, IA by specialty
• Nursing Facility/Intermediate Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.