Avera Home Medical Equipment of Spencer Hospital LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

1-21-008187 Issued in IA

Legal business name

AVERA HOME MEDICAL EQUIPMENT OF SPENCER HOSPITAL LLC

Practice address

1019 S Grand Ave Ste 5 1/2
Spencer, IA 51301-5739

Phone

(712) 580-3923

NPI assigned

Aug 5, 2010

Organization subpart

No

Name

Sandra D Dieleman

Title

President/Ceo

Phone

(605) 322-1872

Organizations this organization is a member of, according to the National Provider Directory.

• Renew Cosmetic and Reconstructive Surgery, PC

  • Plastic and Reconstructive Surgery Physician
  • Spencer, IA
  • NPI 1578732848

  Member Of

  NPD member

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

Medicare medical equipment & supply locations

Medicare fee-for-service enrollment

Enrolled in IA

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 25, 2026.

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1144534702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 S GRAND AVE STE 5 1/2",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513015739",
            "telephone_number": "712-580-3923",
            "fax_number": "712-580-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 S GRAND AVE STE 5 1/2",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513015739",
            "telephone_number": "712-580-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA HOME MEDICAL EQUIPMENT OF SPENCER HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "DIELEMAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "605-322-1872"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "1-21-008187",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IA",
            "license": "1-21-008187",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IA",
            "license": "1-21-008187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian J Anliker, DC
• Robert Appel, CRNA
• Applewhite Dental Iowa PC
• Benjamin John Armstrong, CRNA
• Laura Ann Armstrong, ARNP
• Avera McKennan
• Doreen C Baerentzen, LISW
• Sheri Ann Baker, CRNA
• Robert Matthew Baltes, MSN, ARNP, PMHNP-BC
• Dominique Baugh, TLMHC

• All providers in Spencer, IA
• Oxygen Equipment & Supplies (DME) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.