NPIMap

Organization Active NPI

Boone County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Boone, IA
National Provider Identifier
1861589129
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
BOONE COUNTY HOSPITAL
Practice address
1015 Union St
Boone, IA 50036-4821
Phone
(515) 433-8118
Fax
(515) 433-8905
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

1015 Union St
Boone, IA 50036-4821

Mailing address

1015 Union St
Boone, IA 50036-4821
Phone (515) 433-8118

Other names 1

  • Boone County Hospital Swing Bed Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070124000329 IA Part A Provider - Critical Access Hospital 7416840335 1 other NPI on this enrollment
Practice locations: Boone, IA

Hospital certification: CCN 16Z372

Legal name
BOONE COUNTY HOSPITAL
Doing business as
BOONE COUNTY HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
1015 Union St
Boone, IA 50036-4821
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Boone Co Hospital7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Emily McCarty Individual Corporate OfficerBoard Member Oct 1, 2019
Catherine E Wetzeler Individual Corporate OfficerBoard Member Jan 1, 2022
Brian Reimers Individual Corporate Officer Jan 28, 2021
Troy Thompson Individual Corporate OfficerBoard Member Jan 1, 2013
Mikaela Kienitz Individual Corporate OfficerCeo Jan 2, 2023
W-2 Managing EmployeeCeo Jan 2, 2023
Christopher J Torres Individual Corporate OfficerCfo Jun 24, 2024
W-2 Managing EmployeeCfo Jun 24, 2024
Boone County Hospital Organization, Boone, IA Operational/Managerial Control Sep 1, 2005 100%
Meredith Nerem Individual Corporate OfficerBoard Member Apr 1, 2014
Lisa Kobernusz Individual Corporate OfficerBoard Member Apr 1, 2014
Robert Getschman Individual Corporate OfficerBoard Member Jan 1, 2017
Kathryn S Linkenmeyer Individual W-2 Managing EmployeeChief of Staff Jan 1, 2026

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Boone County HospitalBoone, IA, CCN 161372 Hospital Operational/Managerial Control Sep 1, 2005
Home Care Services of Boone County HospitalBoone, IA, CCN 167034 Home health agency Operational/Managerial Control Dec 30, 2009

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 7

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

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1861589129",
    "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": "500364821",
            "telephone_number": "515-433-8118",
            "fax_number": "515-433-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 UNION ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500364821",
            "telephone_number": "515-433-8118",
            "fax_number": "515-433-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "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": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boone County Hospital Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boone County Hospital Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boone, IA

Sources for this page

Verify at the official NPI Registry.