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 | 1942538608 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1942538608","entity_type_code":"2"} |
| pecos_enrlmt_id | O20100129000556 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1942538608","rule":"D-PECOS","enrlmt_id":"O20100129000556"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | MELISSA BRASEL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"11/28/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0143738203","source_pk":87183,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← owns | OWNER PAC 0244748309 (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":"0244748309","source_pk":87184,"type_owner":"O","enrollment_id":"O20100129000556","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"} |
| ← owns | JON M RIEWER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"11/24/2009","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0547271447","source_pk":87185,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← owns | KARLA SWENSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"08/03/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0749323772","source_pk":87186,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← owns | CASSIDY RAHMAN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/28/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1052829116","source_pk":87187,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← owns | MICHAEL SAND (MN) | 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":"1456543438","source_pk":87188,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← owns | ERIC SCHAFER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"10/10/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1456595552","source_pk":87190,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← owns | DARIN G OHE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/07/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1759292089","source_pk":87191,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← owns | ROBERT J BYE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"08/03/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1759629777","source_pk":87192,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← 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":87193,"type_owner":"O","enrollment_id":"O20100129000556","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← owns | PETER J SELJEVOLD | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"08/03/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2163680604","source_pk":87194,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← 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":87195,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← owns | ALEXANDRA HEPPNER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/25/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2961910021","source_pk":87197,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← owns | TYLER FISCHBACH | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"08/03/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3274904495","source_pk":87198,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← owns | JODEE BOCK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"08/03/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4284005406","source_pk":87199,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← owns | PATRICK GULBRANSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"08/03/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4789839671","source_pk":87200,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← owns | TERRY BRANDT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"08/03/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6002287224","source_pk":87201,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← owns | JACKSON JOHNSRUD | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/17/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6608215462","source_pk":87202,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← owns | EVENTIDE (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"11/18/2009","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7810908712","source_pk":87204,"type_owner":"O","enrollment_id":"O20100129000556","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← owns | JUDITH LEE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8123363413","source_pk":87205,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← owns | ASHTON WHITMORE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/17/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8325556483","source_pk":87206,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← owns | CINDY LARSON-CASSELTON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032454327","source_pk":87207,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← owns | MAEGAN DAHL-WAGNER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"11/10/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9234647397","source_pk":87208,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
| ← owns | VIKKI JOHNSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"08/03/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9537530753","source_pk":87209,"type_owner":"I","enrollment_id":"O20100129000556","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVENTIDE"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1942538608 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2009-11-18 | 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 | 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 1942538608: 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=…