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 | 1144225129 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1144225129","entity_type_code":"2"} |
| pecos_enrlmt_id | O20091209000245 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1144225129","rule":"D-PECOS","enrlmt_id":"O20091209000245"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | JAMES FRANCIS DOVER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"10/23/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0345133344","source_pk":83899,"type_owner":"I","enrollment_id":"O20091209000245","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVERA QUEEN OF PEACE"} |
| ← owns | TREVOR DIERKS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"07/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0840644274","source_pk":83900,"type_owner":"I","enrollment_id":"O20091209000245","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVERA QUEEN OF PEACE"} |
| ← owns | LUCIO MARGALLO (SD) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"07/01/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1557328499","source_pk":83901,"type_owner":"I","enrollment_id":"O20091209000245","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVERA QUEEN OF PEACE"} |
| ← owns | BRAD ZOMER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"07/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2668724022","source_pk":83904,"type_owner":"I","enrollment_id":"O20091209000245","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVERA QUEEN OF PEACE"} |
| ← owns | DIANE SANDHOFF | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"07/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2961485347","source_pk":83905,"type_owner":"I","enrollment_id":"O20091209000245","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVERA QUEEN OF PEACE"} |
| ← owns | FREDEL THOMAS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"07/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2961936091","source_pk":83906,"type_owner":"I","enrollment_id":"O20091209000245","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVERA QUEEN OF PEACE"} |
| ← owns | KIMBERLY JANE LONGE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"06/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3173005741","source_pk":83907,"type_owner":"I","enrollment_id":"O20091209000245","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVERA QUEEN OF PEACE"} |
| ← owns | RYAN THOMPSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"07/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3577815935","source_pk":83910,"type_owner":"I","enrollment_id":"O20091209000245","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVERA QUEEN OF PEACE"} |
| ← owns | JOYCE FETERAL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"07/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3870027907","source_pk":83911,"type_owner":"I","enrollment_id":"O20091209000245","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVERA QUEEN OF PEACE"} |
| ← owns | OWNER PAC 4183106743 (ND) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"38","association_date":"12/01/2000","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4183106743","source_pk":83912,"type_owner":"O","enrollment_id":"O20091209000245","role_code_owner":"38","role_text_owner":"GENERAL PARTNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVERA QUEEN OF PEACE"} |
| ← owns | VICKY LARSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"07/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4789118811","source_pk":83915,"type_owner":"I","enrollment_id":"O20091209000245","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVERA QUEEN OF PEACE"} |
| ← owns | ANN BUCKMILLER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"07/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5092211763","source_pk":83916,"type_owner":"I","enrollment_id":"O20091209000245","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVERA QUEEN OF PEACE"} |
| ← owns | JENNIFER L TEGETHOFF | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"07/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6204134018","source_pk":83917,"type_owner":"I","enrollment_id":"O20091209000245","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVERA QUEEN OF PEACE"} |
| ← owns | JULIE LAUTT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"03/01/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6709989338","source_pk":83918,"type_owner":"I","enrollment_id":"O20091209000245","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVERA QUEEN OF PEACE"} |
| ← owns | HILARY ROCKWELL (SD) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"07/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7214081959","source_pk":83919,"type_owner":"I","enrollment_id":"O20091209000245","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVERA QUEEN OF PEACE"} |
| ← owns | MARK PUETZ | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"07/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8022462456","source_pk":83921,"type_owner":"I","enrollment_id":"O20091209000245","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVERA QUEEN OF PEACE"} |
| ← owns | AVERA HEALTH (SD) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"07/01/2009","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"8224945860","source_pk":83922,"type_owner":"O","enrollment_id":"O20091209000245","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":"AVERA QUEEN OF PEACE"} |
| ← owns | DARLENE BERGELEEN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"07/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8729469531","source_pk":83923,"type_owner":"I","enrollment_id":"O20091209000245","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVERA QUEEN OF PEACE"} |
| ← owns | JESSICA CLAUSSEN (SD) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"07/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9436393030","source_pk":83924,"type_owner":"I","enrollment_id":"O20091209000245","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVERA QUEEN OF PEACE"} |
| ← owns | MARK HUNHOFF | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"07/01/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9931535887","source_pk":83925,"type_owner":"I","enrollment_id":"O20091209000245","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVERA QUEEN OF PEACE"} |
| ← owns | NICOLE STAHLE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"07/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9931553369","source_pk":83926,"type_owner":"I","enrollment_id":"O20091209000245","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVERA QUEEN OF PEACE"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1144225129 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| dba_name | <UNAVAIL> | 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 |
| enumeration_date | 2005-06-16 | 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 | AVERA QUEEN OF PEACE | 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 |
| parent_org_lbn | AVERA QUEEN OF PEACE | 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 | SD | 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 1144225129: 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=…