NPIMap

Organization Active NPI

Boone County Hospital

Doing business as Boone County Family Medicine North Walk In

  • Primary Care Clinic/Center
  • Boone, IA
National Provider Identifier
1942664602
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BOONE COUNTY HOSPITAL
Doing business as
Boone County Family Medicine North Walk In
Practice address
120 S Story St
Boone, IA 50036-4739
Phone
(515) 433-8585
Fax
(515) 432-2123
NPI assigned
Apr 8, 2016
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

120 S Story St
Boone, IA 50036-4739

Mailing address

1015 Union St
Boone, IA 50036-4821
Phone (515) 432-3140

Other names 1

  • Boone County Family Medicine North Walk In Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ahc@bch.converge.direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040204001048 IA Part B Supplier - Clinic/Group Practice 7416840335 Receives reassigned benefits from 42 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boone, IA; Ogden, IA
O20061104000517 IA Part A Provider - Critical Access Hospital 7416840335 Receives reassigned benefits from 56 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boone, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942664602. Details of each certification follow.

Hospital certification: CCN 161372

Legal name
BOONE COUNTY HOSPITAL
Doing business as
BOONE COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Sep 1, 2005
Last certification
Dec 3, 2024
Beds
25
Ownership / control type
Other
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 on the same Medicare enrollment 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Boone County HospitalCCN 161372 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2115879Boone County Family Medicine- North120 S Story St, Boone, IA 50036Provider-performed microscopyNov 12, 2027

National Provider Directory

National Provider Directory

Locations

1015 Union St
Ste 119
Boone, IA 50036
Phone (515) 433-8500

105 S Marshall St
Boone, IA 50036
Phone (515) 432-1127

1115 S Marshall St
Boone, IA 50036
Phone (515) 432-2335

120 S Story St
Ste 1
Boone, IA 50036

Interoperability endpoints

  • Direct secure messaging: ahc@direct.boonehospital.kobledirect.com

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
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 5

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

Practitioners & affiliated clinicians

Practitioners 54

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 54

Affiliated clinicians 157

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

View all 157

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1942664602",
    "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": "515-432-3140",
            "fax_number": "515-433-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S STORY ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500364739",
            "telephone_number": "515-433-8585",
            "fax_number": "515-432-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "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": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ahc@bch.converge.direct",
            "affiliation": "N",
            "address_1": "120 S Story St",
            "city": "Boone",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500364739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Boone County Family Medicine North Walk In",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boone, IA

Sources for this page

Verify at the official NPI Registry.