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 | 1053396218 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1053396218","entity_type_code":"2"} |
| pac_id | 2163697921 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1053396218","rule":"D-PECOS","enrlmt_id":"O20120117000561","pecos_asct_cntl_id":"2163697921"} |
| pecos_enrlmt_id | O20120117000561 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1053396218","rule":"D-PECOS","enrlmt_id":"O20120117000561"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | KELLY ROSS (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0244277275","source_pk":112054,"type_owner":"I","enrollment_id":"O20120117000561","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"STACYVILLE COMMUNITY NURSING HOME"} |
| ← owns | KURT HEMANN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"03/11/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1052899457","source_pk":112056,"type_owner":"I","enrollment_id":"O20120117000561","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"STACYVILLE COMMUNITY NURSING HOME"} |
| ← owns | POINTCLICKCARE TECHNOLOGIES, INC. (UT) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1557696432","source_pk":112057,"type_owner":"O","enrollment_id":"O20120117000561","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"STACYVILLE COMMUNITY NURSING HOME"} |
| ← owns | PHIL STREIT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"03/01/2022","percentage_ownership":14} evidence: {"rule":"D-OWNER","owner_pac":"1951766385","source_pk":112058,"type_owner":"I","enrollment_id":"O20120117000561","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":14,"enrollment_organization_name":"STACYVILLE COMMUNITY NURSING HOME"} |
| ← owns | RONNIE PITZEN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/01/2022","percentage_ownership":14} evidence: {"rule":"D-OWNER","owner_pac":"2860857299","source_pk":112059,"type_owner":"I","enrollment_id":"O20120117000561","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":14,"enrollment_organization_name":"STACYVILLE COMMUNITY NURSING HOME"} |
| ← owns | OWNER PAC 2961980362 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2961980362","source_pk":112060,"type_owner":"I","enrollment_id":"O20120117000561","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"STACYVILLE COMMUNITY NURSING HOME"} |
| ← owns | MELANIE EMERSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/01/2022","percentage_ownership":14} evidence: {"rule":"D-OWNER","owner_pac":"3779948104","source_pk":112061,"type_owner":"I","enrollment_id":"O20120117000561","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":14,"enrollment_organization_name":"STACYVILLE COMMUNITY NURSING HOME"} |
| ← owns | MARLENE WEIS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"03/01/2020","percentage_ownership":14} evidence: {"rule":"D-OWNER","owner_pac":"5597120923","source_pk":112062,"type_owner":"I","enrollment_id":"O20120117000561","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":14,"enrollment_organization_name":"STACYVILLE COMMUNITY NURSING HOME"} |
| ← owns | LAWRENCE BISSEN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"03/01/2022","percentage_ownership":14} evidence: {"rule":"D-OWNER","owner_pac":"5991138810","source_pk":112063,"type_owner":"I","enrollment_id":"O20120117000561","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":14,"enrollment_organization_name":"STACYVILLE COMMUNITY NURSING HOME"} |
| ← owns | KAREN BRUMM | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"03/31/2015","percentage_ownership":14} evidence: {"rule":"D-OWNER","owner_pac":"6002198520","source_pk":112065,"type_owner":"I","enrollment_id":"O20120117000561","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":14,"enrollment_organization_name":"STACYVILLE COMMUNITY NURSING HOME"} |
| ← owns | HALEY LENTZ | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/16/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8325526726","source_pk":112066,"type_owner":"I","enrollment_id":"O20120117000561","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"STACYVILLE COMMUNITY NURSING HOME"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1053396218 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2005-12-09 | 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 | STACYVILLE COMMUNITY NURSING HOME | 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 | IA | 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 1053396218: 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=…