Cross-source identifiers
Every current identifier attachment, with the link method and confidence carried verbatim — deterministic links are 1.000; probabilistic links surface their real matcher confidence, never rounded up.
| Scheme | Value | Source table | Link method | Confidence | Since | Provenance |
|---|---|---|---|---|---|---|
| npi | 1215256078 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1215256078","entity_type_code":"2"} |
| pac_id | 8729119078 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1215256078","rule":"D-PECOS","enrlmt_id":"O20100630000185","pecos_asct_cntl_id":"8729119078"} |
| pecos_enrlmt_id | O20100630000185 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1215256078","rule":"D-PECOS","enrlmt_id":"O20100630000185"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | MATTHEW FITZGERALD | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0446768527","source_pk":93088,"type_owner":"I","enrollment_id":"O20100630000185","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | JON M RIEWER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"05/28/2010","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0547271447","source_pk":93090,"type_owner":"I","enrollment_id":"O20100630000185","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | JERILYN WASS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"07/01/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1254849334","source_pk":93091,"type_owner":"I","enrollment_id":"O20100630000185","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | ASHLEY WENTLAND | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"07/14/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1355859430","source_pk":93092,"type_owner":"I","enrollment_id":"O20100630000185","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | DARIN G OHE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"12/18/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1759292089","source_pk":93093,"type_owner":"I","enrollment_id":"O20100630000185","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | ROBERT J BYE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1759629777","source_pk":93094,"type_owner":"I","enrollment_id":"O20100630000185","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | BLUE STONE THERAPY INC (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"11/01/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1850707787","source_pk":93095,"type_owner":"O","enrollment_id":"O20100630000185","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | PETER J SELJEVOLD | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/28/2010","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2163680604","source_pk":93097,"type_owner":"I","enrollment_id":"O20100630000185","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | BRANDON LUNAK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"03/01/2026","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2264803485","source_pk":93098,"type_owner":"I","enrollment_id":"O20100630000185","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | OWNER PAC 4082122262 (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/16/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4082122262","source_pk":93100,"type_owner":"O","enrollment_id":"O20100630000185","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | PATRICK GULBRANSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"12/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4789839671","source_pk":93101,"type_owner":"I","enrollment_id":"O20100630000185","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | OWNER PAC 5991213175 (ND) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/16/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5991213175","source_pk":93102,"type_owner":"O","enrollment_id":"O20100630000185","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | DEREK BRICKNER (ND) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6002088325","source_pk":93103,"type_owner":"I","enrollment_id":"O20100630000185","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | TERRY BRANDT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"03/01/2026","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6002287224","source_pk":93105,"type_owner":"I","enrollment_id":"O20100630000185","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | TIFFANY BATY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/01/2026","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6507341310","source_pk":93106,"type_owner":"I","enrollment_id":"O20100630000185","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | OWNER PAC 6800304080 (ND) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/27/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6800304080","source_pk":93107,"type_owner":"O","enrollment_id":"O20100630000185","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | MIA SHAW | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/01/2026","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7416432232","source_pk":93108,"type_owner":"I","enrollment_id":"O20100630000185","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | OWNER PAC 7719495894 (NE) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/27/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7719495894","source_pk":93109,"type_owner":"O","enrollment_id":"O20100630000185","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | EVENTIDE (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"05/28/2010","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"7810908712","source_pk":93110,"type_owner":"O","enrollment_id":"O20100630000185","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | MARIAH HILTNER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/01/2026","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8325523145","source_pk":93111,"type_owner":"I","enrollment_id":"O20100630000185","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | KAREN MILLER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"02/17/2026","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9234614058","source_pk":93112,"type_owner":"I","enrollment_id":"O20100630000185","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
| ← owns | VIKKI JOHNSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"12/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9537530753","source_pk":93113,"type_owner":"I","enrollment_id":"O20100630000185","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE JAMESTOWN LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1215256078 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2010-05-19 | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| legal_business_name | EVENTIDE JAMESTOWN LLC | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| practice_state | ND | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| primary_taxonomy | 314000000X | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
Provider screening signals
NPI-keyed source families read directly for 1215256078: federal and state integrity lists, CMS Open Payments, Order and Referring eligibility, Medicare opt-out, and enrollment revalidation. Cells expose the source and provenance fields supplied by the selected record. A screening aid — re-confirm any match against the primary source before acting; absence means nothing on file in the data Fonteum currently holds, never a guarantee none exists.
Sanctions & integrity
Coverage staleExclusion coverage is stale or cannot be reconciled to an attested source artifact. This result is indeterminate and must not be treated as a clearance; check the current issuing-agency lists.
- Coverage status: indeterminate
- Screened 26 integrity lists; no negative determination was made.
14-tuple provenance (26)
Industry payments
None on file0 CMS Open Payments records on file for this NPI.
14-tuple provenance (1)
Order & referring eligibility
None on fileNo CMS Order and Referring record on file for this NPI.
14-tuple provenance (1)
Medicare opt-out
None on fileNo CMS Medicare opt-out affidavit on file for this NPI.
14-tuple provenance (1)
Revalidation
On file1 Medicare enrollment record on file.
- Due date: TBD upstream — not due within the ensuing six months.
14-tuple provenance (1)
Point-in-time
Query retained claim coordinates under bitemporal-read/v1. Most facts have no superseded row; dates outside retained coverage may return no prior version, and diffs require both coordinates.
Pick a date to reconstruct, or two dates to diff. Equivalent JSON: /api/v1/history/{subject_type}/{subject_id}?at=… and …/diff?from=…&to=…