NPIMap

Organization Active NPI

Waverly Health Center

  • Critical Access Hospital
  • Waverly, IA
National Provider Identifier
1447299953
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
090098H Issued in IA
Legal business name
WAVERLY HEALTH CENTER
Practice address
312 9TH St SW
Waverly, IA 50677-2929
Phone
(319) 352-4120
Fax
(319) 352-3992
NPI assigned
Jun 6, 2006
Last updated
Jun 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Ms. Jodi M Geerts
Title
Ceo
Phone
(319) 352-4120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 090098H IA Primary

Addresses

Primary practice location

312 9TH St SW
Waverly, IA 50677-2929

Mailing address

312 9TH St SW
Waverly, IA 50677-2929
Phone (319) 352-4120

Other identifiers 2

IdentifierTypeStateIssuer
60094OtherIABCBS ACUTE
0600940MedicaidIA

Other names 1

  • Waverly Municipal Hospital Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000316 IA Part A Provider - Critical Access Hospital 8820996762 Receives reassigned benefits from 66 practitioners
Practice locations: Waverly, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447299953. Details of each certification follow.

Hospital certification: CCN 161339

Legal name
WAVERLY HEALTH CENTER
Doing business as
WAVERLY HEALTH CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2002
Last certification
Aug 3, 2018
Beds
25
Ownership / control type
Local
Organization structure
OtherNon-profit
Enrollment address
312 9TH St SW
Waverly, IA 50677-2929
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Waverly Health CenterCCN 161339 · All quality measures
Overall star rating
5 of 5
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Waverly Municipal Hospital13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Renu Bansal Individual W-2 Managing EmployeePresident of Medical Staff Jan 1, 2023
Operational/Managerial ControlPresident of Medical Staff Jan 1, 2023
Kelly a Hilsenbeck Individual W-2 Managing EmployeeCno Feb 19, 2023
Operational/Managerial ControlCno Feb 19, 2023
Ann Henninger Trax Individual Corporate Officer Jan 7, 2022
Corporate Director Jan 1, 2020
Jodi M Geerts Individual Corporate OfficerCeo Jan 18, 2023
W-2 Managing EmployeeCeo Jan 18, 2023
Operational/Managerial ControlCeo Jan 18, 2023
Philip S Jones Individual Corporate Officer Jan 7, 2022
Corporate Director Aug 31, 2021
David J Rathe Individual Corporate Director Jan 1, 2024
Laurie Everhardt Individual Corporate Director Jan 1, 2022

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 71

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 71

Affiliated clinicians 253

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

View all 253

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1447299953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 9TH ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772929",
            "telephone_number": "319-352-4120",
            "fax_number": "319-352-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 9TH ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772929",
            "telephone_number": "319-352-4120",
            "fax_number": "319-352-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVERLY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "GEERTS",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-352-4120",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IA",
            "license": "090098H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ACUTE",
            "identifier": "60094",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600940",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waverly Municipal Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Waverly, IA

Sources for this page

Verify at the official NPI Registry.