Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BOONE COUNTY FAMILY MEDICINE TR
NPI 1033154836
Family Medicine in Boone, IA

Active since June 17, 2006CLIA Certified · 2 labs
1115 S MARSHALL ST, BOONE, IA 50036(515) 432-2335(515) 432-2357 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2023, Mar 9, 2023, Dec 21, 2022 and 1 more (4 updates tracked since 2021).

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

NPI1033154836
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBOONE COUNTY FAMILY MEDICINE TR
Location Address1115 S MARSHALL STBoone, IA 50036-5304
Mailing Address1115 S Marshall StBoone, IA 50036-5304 · (515) 432-2335 · Fax (515) 432-2357
Fax(515) 432-2357
Organization SubpartNo
Authorized OfficialMikaela KienitzCeo · (515) 432-3140
Enumeration DateJune 17, 2006
Last NPPES UpdateJuly 1, 20264 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
NPI 1033154836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
1115 S MARSHALL ST, Boone, IA 50036

Secondary Practice Location 1

Location 1120 S Story StBoone, IA 50036-4739 · Phone (515) 432-4444

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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, IA
Active · expires Dec 14, 2027
CLIA Number16D0382654
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 15, 2025
Certificate Expiration DateDecember 14, 2027
Laboratory DirectorRienera Sivesind
Laboratory Phone(515) 433-4866
Laboratory LocationBoone County Family Medicine South1115 South Marshall Street, Boone, IA 50036
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 16D2115879

Boone County Family Medicine- North · Boone, IA
Active · expires Nov 12, 2027
CLIA Number16D2115879
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorRienera Sivesind
Laboratory Phone(515) 433-6407
Laboratory LocationBoone County Family Medicine- North120 S Story St, Boone, IA 50036
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
1115 S MARSHALL ST
BOONE, IA 50036
Pharmacist
1115 S MARSHALL ST
BOONE, IA 50036
Family Medicine
1115 S MARSHALL ST
BOONE, IA 50036
Family Medicine
1115 S MARSHALL ST
BOONE, IA 50036
Family Medicine
1115 S MARSHALL ST
BOONE, IA 50036
Family Medicine
1115 S MARSHALL ST
BOONE, IA 50036
Family Medicine
1115 S MARSHALL ST
BOONE, IA 50036

Frequently 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.

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.

What insurance does Boone County Family Medicine Tr accept?

Health plans from Medica list Boone County Family Medicine Tr as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 51 days 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.