NPIMap

Individual provider Active NPI

Jani Lynn Boothby, ARNP

  • Family Nurse Practitioner
  • Storm Lake, IA
National Provider Identifier
1407450141
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A160940 Issued in IA
Practice address
715 W Milwaukee Ave
Storm Lake, IA 50588-1564
Phone
(712) 229-3622
NPI assigned
Nov 23, 2020
Last updated
Nov 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A160940 IA Primary

Addresses

Primary practice location

715 W Milwaukee Ave
Storm Lake, IA 50588-1564

Mailing address

5228 Crest Dr
Cherokee, IA 51012-7249
Phone (712) 229-3622

Other names 1

  • Mrs. Jani Lynn Solko Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210226002461 IA Practitioner - Nurse Practitioner 5294140166 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Floyd Valley HealthcareGroup PAC ID 2769385475, shared by 5 NPIs, 35 clinicians
Sioux Valley Memorial Hospital AssociationGroup PAC ID 4880501881, shared by 10 NPIs, 21 clinicians
United Community Health Center IncGroup PAC ID 1456362615, 8 clinicians

Practice addresses (Care Compare)

1080 Holton Dr SW
Floyd Valley Clinics
Le Mars, IA 51031-3758
Phone (712) 546-3665

300 Sioux Valley Dr
Cherokee, IA 51012-1205
Phone (712) 225-6265

715 W Milwaukee Ave
Storm Lake, IA 50588-1564
Phone 71221301091106

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates P.C. Current Accepting new patients
United Community Health Center Inc. CurrentSince Jan 1, 2021 Accepting new patients
Floyd Valley Healthcare CurrentSince Nov 1, 2025 Accepting new patients
Floyd Valley Healthcare CurrentSince Jul 30, 2025 Accepting new patients
Floyd Valley Healthcare Current Accepting new patients
Floyd Valley Healthcare CurrentSince Jul 30, 2025 Accepting new patients

Locations

714 Lincoln St NE
Le Mars, IA 51031
Phone (712) 546-3338

715 W Milwaukee Ave
Storm Lake, IA 50588
Phone (712) 213-0109

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGGHAA
  • Direct secure messaging: jani.boothby@avera.sdhealthlink.net
  • Direct secure messaging: jboothby642806@direct.ochin.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1407450141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5228 CREST DR",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510127249",
            "telephone_number": "712-229-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W MILWAUKEE AVE",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881564",
            "telephone_number": "712-229-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTHBY",
        "first_name": "JANI",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A160940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANI",
            "last_name": "SOLKO",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Storm Lake, IA

Sources for this page

Verify at the official NPI Registry.