Veterans Memorial Hospital City of Waukon Ia
Organization Active NPI Critical Access Hospital · Waukon, IA
NPI 1164599643 · NPPES record last updated Jul 17, 2026
Key facts
- NPI
- 1164599643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 030142H (IA)
- Legal business name
- VETERANS MEMORIAL HOSPITAL CITY OF WAUKON IA
- Practice address
- 40 1St St SE
Waukon, IA 52172-2022 - Phone
- (568) 568-3411
- Fax
- (563) 568-5699
- NPI assigned
- Nov 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Jayne McCormick
- Title
- Co-Ceo
- Phone
- (563) 568-3411
Owners & managing parties with NPI records 5
Owned or controlled facilities with NPI records 4
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 5
Related certifications (CCN) 3
Practitioners 86
-
Alex Mitchell Berns, DNP FNP-C
-
Tara Lynn Fink, PMHNP
-
Janet Lynell Hunter, PMHNP-BC
-
Hannah Rebecca Kelly, RN, BAN, ARNP, FNP-C
-
John Jacob Zion Kelly, FNP-BC
-
Katy Maureen Maker, ARNP, CNM
-
Susan K McMillan, APNP
-
Thomas George McMullan, M.D.
-
Minji NA Ransom, FNP-BC
-
David Schwartz, MD
-
Chelsey Olga Sherburne, FNP-C
-
William John Specht, ARNP
-
Angela Beth Taylor, PMHNP-BC
-
Keith Edward Baynes, M.D.
-
Marcus William Bickford, M.D.
-
Ross Michael Cerniglia, M.D.
-
Robert T. Giese, PA-C
-
Laura Jean Keatley, FNP-BC
-
Rebecca Sue Krambeer, FNP
-
Isidora Sharlene Luther, APNP
Affiliated clinicians 121
-
Danielle Jo Bakewell, APNP
-
Alex Mitchell Berns, DNP FNP-C
-
Shawn C Blake, CRNA
-
Scott M Bohner, DO
-
Darcy H Connelly, PA
-
Emily Connor, M.D.
-
Angela M Cooper, PAC
-
John M Evelsizer Olson, PA-C
-
Tara Lynn Fink, PMHNP
-
Janet Lynell Hunter, PMHNP-BC
-
Anna Immekus, NP
-
Hannah Rebecca Kelly, RN, BAN, ARNP, FNP-C
-
John Jacob Zion Kelly, FNP-BC
-
Erica J Krause-Wagner, APNP
-
Andrea Michele Krogman, APNP
-
Elizabeth K Leschensky, FNPC
-
Heather Kay Levinson, MSN, ARNP
-
William Francis Loebig, CRNA
Medicare Care Compare: Hospital
- Listed as
- Veterans Memorial Hospital
- Type
- Critical Access Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Hospital certification: CCN 161318
- Legal name
- VETERANS MEMORIAL HOSPITAL CITY OF WAUKON IA
- Doing business as
- VETERANS MEMORIAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Feb 28, 2001
- Last certification
- Oct 23, 2024
- Beds
- 25
- Ownership / control type
- Local
- Organization structure
- Other · Non-profit
- Enrollment address
- 40 1St St SE
Waukon, IA 52172-2022
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Dennis Koenig |
Corporate Director |
Jul 15, 2023 | |
| Veterans Memorial Hospital City of Waukon Ia |
Other | Nov 14, 2022 | 100% |
| Ronald Osterholm |
Corporate Officer |
Jan 1, 2025 | |
| John Ellingson |
Corporate Officer |
Jan 1, 2025 | |
| Larry Schellhammer |
Corporate Officer |
Jan 1, 2025 | |
| Dennis Lyons |
Corporate Director |
Nov 20, 2022 | |
| Dawn Clark |
Corporate Officer |
Jan 1, 2025 | |
| Patty Nordheim |
Corporate Director |
Nov 20, 2022 | |
| Michael F Coyle |
W-2 Managing Employee |
Apr 1, 2023 | |
| Operational/Managerial Control |
Sep 3, 2020 |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Veterans Memorial Hospital |
Hospital | Other (100%) | Nov 14, 2022 |
| VMH Community & Home Care |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1995 |
| VMH Medical Clinic Waukon |
Rural health clinic | Other (100%) | Nov 14, 2022 |
| VMH Medical Clinic Postville |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101101000478 | IA | Part a Provider - Critical Access Hospital | 1355230293 |
Receives reassigned benefits from 85 practitioners Practice locations: Waukon, IA |
National Provider Directory
- Tax ID family
- Veterans Memorial Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 030142H | IA | Yes |
Addresses
Primary practice location
40 1St St SE
Waukon, IA 52172-2022
Mailing address
40 1St St SE
Waukon, IA 52172-2022
Phone (568) 568-3411
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0600239 | Medicaid | IA | |
| 60023 | Other | IA | BLUE CROSS |
Other providers in Waukon, IA
- Austin Troendle
- Shelly Valley
- Andrea Lynn Venteicher
- Veterans Memorial Hospital City of Waukon Ia
- Veterans Memorial Hospital City of Waukon Ia
- Veterans Memorial Hospital City of Waukon Ia
- Veterans Memorial Hospital City of Waukon Ia
- Veterans Memorial Hospital City of Waukon Ia
- Veterans Memorial Hospital-Public Health
- Jillian Rae Volker
All providers in Waukon, IA · Critical Access Hospital in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.