NPIMap

Organization Active NPI

Boone County Comprehensive Specialty Care

Doing business as Boone County Hospital

  • Surgery Physician
  • Boone, IA
National Provider Identifier
1316982200
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
02837 Issued in IA
Legal business name
BOONE COUNTY COMPREHENSIVE SPECIALTY CARE
Doing business as
Boone County Hospital
Practice address
1015 Union St
Suite 120
Boone, IA 50036-4821
Phone
(515) 433-8700
Fax
(515) 432-6962
NPI assigned
Jun 17, 2006
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Mikaela Kienitz
Title
Ceo
Phone
(515) 432-3140

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Orthopaedic Surgery Physician 207X00000X NU
Surgery Physician 208600000X 02837 IA Primary
Surgery of the Hand (Surgery) Physician 2086S0105X NU
Urology Physician 208800000X NU
Podiatrist 213E00000X 000872 IA
Foot & Ankle Surgery Podiatrist 213ES0103X NU

Addresses

Primary practice location

1015 Union St
Suite 120
Boone, IA 50036-4821

Mailing address

1015 Union St
Boone, IA 50036
Phone (515) 433-8500

Other names 1

  • Boone County Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bccsc@bch.converge.direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060830000218 IA Part B Supplier - Clinic/Group Practice 8022012293 Receives reassigned benefits from 14 practitioners
Practice locations: Boone, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1316982200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 UNION ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "50036",
            "telephone_number": "515-433-8500",
            "fax_number": "515-433-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 UNION ST",
            "address_2": "SUITE 120",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500364821",
            "telephone_number": "515-433-8700",
            "fax_number": "515-432-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE COUNTY COMPREHENSIVE SPECIALTY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "KIENITZ",
        "authorized_official_first_name": "MIKAELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-432-3140"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "02837",
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "000872",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bccsc@bch.converge.direct",
            "affiliation": "N",
            "address_1": "1015 Union St",
            "address_2": "Suite 120",
            "city": "Boone",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500364821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Boone County Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boone County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boone, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.