BOONE COUNTY FAMILY MEDICINE TR
NPI 1033154836
Family Medicine in Boone, IA
About Boone County Family Medicine Tr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOONE COUNTY FAMILY MEDICINE TR (NPI 1033154836) is a healthcare organization registered as a family medicine in Boone, Iowa and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Boone, and lists Mikaela Kienitz, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Boone County Family Medicine Tr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Boone County Family Medicine Tr, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (15)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 16D0382654
Boone County Family Medicine South · Boone, IACertificate for Provider-Performed Microscopy Procedures (PPMP) 16D2115879
Boone County Family Medicine- North · Boone, IAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Boone County Family Medicine Tr's NPI number?
The NPI number for Boone County Family Medicine Tr is 1033154836. It was assigned to this organization in the NPPES registry on June 17, 2006.
Where is Boone County Family Medicine Tr located?
Boone County Family Medicine Tr is located at 1115 S Marshall St, Boone, IA 50036. The listed phone number is (515) 432-2335.
What is Boone County Family Medicine Tr's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Boone County Family Medicine Tr enrolled in Medicare?
Yes. Boone County Family Medicine Tr is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Boone County Family Medicine Tr?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Boone County Family Medicine Tr. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (8), Nurse Practitioner (6) and Certified Nurse Midwife (CNM) (1). Of these, 3 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Boone County Family Medicine Tr hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Boone County Family Medicine Tr was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.