TERMINAL · ENTITY CARD · ORGANIZATION

MAYO CLINIC HEALTH SYSTEM-LAKE CITY

Canonical entity in the resolved graph · MN · methodology entity-graph/v1 · ce964f38-85a5-42b2-b3a9-bb95486b46d5

active

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.

Current identifier attachments with link confidence
Scheme	Value	Source table	Link method	Confidence	Since	Provenance
npi	1831130319	nppes_providers	deterministic_pk	1.000	2026-06-10	evidence recorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1831130319","entity_type_code":"2"}
pecos_enrlmt_id	O20100901000268	pecos_providers	exact_npi_in_pecos	1.000	2026-06-16	evidence recorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1831130319","rule":"D-PECOS","enrlmt_id":"O20100901000268"}

Graph edges

One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.

Current 1-hop graph edges
Relationship	Entity	Confidence	Source table	Provenance
← owns	RAFAEL FONSECA (AZ)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0244221455","source_pk":94547,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	TARYN SCHRUTH	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"11/13/2025","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"0244712008","source_pk":94548,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	AMY HARA (AZ)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0345381521","source_pk":94549,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	CHARLES SMITH	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0446690531","source_pk":94550,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	NNEKA COMFERE (MN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0547221772","source_pk":94551,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	RANDY FOSS (MN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2024","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"0547403446","source_pk":94552,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	CHRISTINA ZORN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0547584872","source_pk":94556,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	KATHERINE BAICKER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0547693038","source_pk":94557,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	MEGAN KRAMER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"02/01/2026","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"1153803911","source_pk":94558,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	ANNE SWEENEY	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1355648254","source_pk":94559,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	KATHLEEN DURAND	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"07/01/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"1355702366","source_pk":94560,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	LISA ARCHER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"01/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2365962339","source_pk":94561,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	DENA KEILMAN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"01/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2365964236","source_pk":94562,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	JULIE GERBERDING	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2567514748","source_pk":94563,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	SARAH MCLAUGHLIN (FL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2567563760","source_pk":94564,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	KARTHIK GHOSH (MN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"11/13/2025","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"2961582416","source_pk":94565,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	DONALD REMY	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3072976356","source_pk":94566,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	NATALIE CAINE	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3072987817","source_pk":94567,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	SHERRY HUBERT	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3274446547","source_pk":94568,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	ROSHANAK DIDEHBAN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3375806094","source_pk":94569,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	JED DAVIS	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3577938273","source_pk":94570,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	MATTHEW CALLSTROM (MN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3870628837","source_pk":94571,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	CHARANJIT RIHAL (MN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3870635121","source_pk":94572,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	RICHARD GRAY	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3971645524","source_pk":94573,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	MICHAEL POWELL	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3971773706","source_pk":94574,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	BRETT ANDERSON	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"07/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3971940412","source_pk":94575,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	JOSHUA SMITH	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2022","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"3971997958","source_pk":94576,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	TRAVIS PAUL	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"01/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4284032087","source_pk":94577,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	ERIC SCHMIDT	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4486881091","source_pk":94578,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	RICHARD DAVIS	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4486939147","source_pk":94579,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	TODD WILLETT	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2016","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4688993447","source_pk":94580,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	TARA KROSCH (MN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"01/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4789868704","source_pk":94581,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	JAY ALIX	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/24/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4789923681","source_pk":94582,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	AJANI DUNN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4880085463","source_pk":94583,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	EBENEZER MANAGEMENT SERVICES INC (MN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/25/2005","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5092817221","source_pk":94584,"type_owner":"O","enrollment_id":"O20100901000268","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	URSULA BURNS	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5294647889","source_pk":94585,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	ABIMBOLA FAMUYIDE (MN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5890700413","source_pk":94586,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	MANSI KANUGA (MN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"01/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5890811913","source_pk":94587,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	KENT THIELEN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5890820930","source_pk":94588,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	BRIAN LYNCH (MN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"01/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5991699001","source_pk":94589,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	TAYLOR BEAHRS (MN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"01/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5991947582","source_pk":94590,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	CHRISTOPHER R GULDEN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2021","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"6103230644","source_pk":94591,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	GOKHAN ANIL (MN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"01/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6305931395","source_pk":94592,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	GEORGE BILICIC	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6507105400","source_pk":94593,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	MAYO CLINIC (MN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6507778255","source_pk":94594,"type_owner":"O","enrollment_id":"O20100901000268","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	SALLY ANNE BROWN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6709308877","source_pk":94595,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	MICHAEL SHANNON	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6709976657","source_pk":94596,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	KRISTIN PECK	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6800242751","source_pk":94597,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	BRIAN BARTLETT (MN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"01/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7113087438","source_pk":94598,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	PAUL GORMAN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7214116334","source_pk":94599,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	DENNIS DAHLEN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7214949890","source_pk":94600,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	DOUGLAS BAKER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7618101585","source_pk":94601,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	GIANRICO FARRUGIA	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7810022829","source_pk":94602,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	BETHANIE FLATTUM	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2021","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"7911311451","source_pk":94603,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	ROBIN ROBERTS	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7911338546","source_pk":94605,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	SYED KHAN (MN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"01/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8022050475","source_pk":94606,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	MARTINE ROTHBLATT	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8022201706","source_pk":94607,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	NANCY PERETSMAN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8325372378","source_pk":94608,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	KATIE HINDERAKER (MN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"07/10/2025","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"8426340183","source_pk":94609,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	ALBERT HARRIS (MN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"01/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8628179934","source_pk":94610,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	TRENT ANDERSON (MN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2025","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"8628223484","source_pk":94611,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	MACKENZIE HARNISCH	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8628577863","source_pk":94612,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	JAMES FRANCIS	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032251020","source_pk":94614,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	TRACY SEXTON OLIVER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2018","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"9032470414","source_pk":94615,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	AMY WILLIAMS (MN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9133101157","source_pk":94616,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	MORRIS MILLER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"07/01/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"9234304460","source_pk":94617,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}
← owns	JAMES ROBO	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"04/28/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9537509625","source_pk":94619,"type_owner":"I","enrollment_id":"O20100901000268","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAYO CLINIC HEALTH SYSTEM-LAKE CITY"}

Current record

Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.

org · 1831130319 JSON

Current claims for org 1831130319
Metric	Value	Asserted	Source
enumeration_date	2006-06-08	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
legal_business_name	MAYO CLINIC HEALTH SYSTEM-LAKE CITY	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
parent_org_lbn	MAYO CLINIC HEALTH SYSTEM-LAKE CITY	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
practice_state	MN	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
primary_taxonomy	314000000X	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON

Provider screening signals

NPI-keyed source families read directly for 1831130319: 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 stale

Exclusion 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.

Source:OIG LEIE +25 moreChecked 2026-09-20

14-tuple provenance (26)

OIG LEIE

source: HHS Office of Inspector General (LEIE)

dataset_id: oig-leie

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: 1977-10-25

coverage_end: ongoing

slsa_provenance_url: —

upstream source

SAM.gov Exclusions

source: U.S. General Services Administration (GSA), System for Award Management (SAM.gov)

dataset_id: sam-gov-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: 2012-07-30

coverage_end: ongoing

slsa_provenance_url: —

upstream source

NY Medicaid (OMIG)

source: NY Office of the Medicaid Inspector General (OMIG)

dataset_id: ny-omig-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: NY-OMIG-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

OH Medicaid (ODM)

source: Ohio Department of Medicaid (ODM)

dataset_id: oh-odm-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: OH-ODM-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

GA Medicaid (DCH OIG)

source: Georgia DCH Office of Inspector General

dataset_id: ga-dch-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: GA-DCH-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

PA Medicaid (Medicheck)

source: Pennsylvania Department of Human Services (DHS)

dataset_id: pa-dhs-medicheck

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: PA-DHS-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

NC Medicaid (DHHS)

source: NC DHHS, Division of Health Benefits (NC Medicaid)

dataset_id: nc-dhhs-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: NC-DHHS-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MD Medicaid

source: Maryland Department of Health (MDH)

dataset_id: md-mdh-sanctioned

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MD-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

WA Medicaid

source: Washington State Health Care Authority (HCA)

dataset_id: wa-hca-termination-exclusion

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: WA-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

IA Medicaid

source: Iowa Health and Human Services (Iowa Medicaid)

dataset_id: ia-medicaid-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: IA-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MS Medicaid

source: Mississippi Division of Medicaid (DOM)

dataset_id: ms-dom-sanctioned

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MS-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MT Medicaid

source: Montana Department of Public Health and Human Services (DPHHS)

dataset_id: mt-dphhs-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MT-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

CO Medicaid

source: Colorado Department of Health Care Policy & Financing (HCPF)

dataset_id: co-hcpf-terminations

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: CO-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

IN Medicaid

source: Indiana FSSA, Office of Medicaid Policy and Planning (OMPP)

dataset_id: in-ompp-terminations

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: IN-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

KS Medicaid

source: Kansas Department of Health and Environment, Division of Health Care Finance (KDHE-DHCF)

dataset_id: ks-kmap-terminations

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: KS-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

KY Medicaid

source: Kentucky CHFS, Department for Medicaid Services (DMS)

dataset_id: ky-dms-terminations

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: KY-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

NH Medicaid

source: New Hampshire Department of Health and Human Services (DHHS)

dataset_id: nh-dhhs-sanctions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: NH-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

ND Medicaid

source: North Dakota Health and Human Services (HHS), Medicaid Program Integrity

dataset_id: nd-hhs-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: ND-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

TN Medicaid

source: Tennessee TennCare, Office of Program Integrity

dataset_id: tn-tenncare-terminated

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: TN-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MI Medicaid

source: Michigan Department of Health and Human Services (MDHHS), Medicaid Program Integrity

dataset_id: mi-mdhhs-sanctions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MI-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

LA Medicaid

source: Louisiana Department of Health (LDH), Program Integrity

dataset_id: la-ldh-adverse-actions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: LA-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

SC Medicaid

source: South Carolina Department of Health and Human Services (SCDHHS), Program Integrity

dataset_id: sc-scdhhs-sanctioned

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: SC-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MA Medicaid

source: Massachusetts MassHealth (EOHHS), Office of Program Integrity

dataset_id: ma-masshealth-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MA-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MO Medicaid

source: Missouri Medicaid Audit and Compliance (MMAC), Department of Social Services

dataset_id: mo-mmac-sanctions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MO-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

OIG CIA

source: HHS Office of Inspector General — Corporate Integrity Agreements

dataset_id: oig-cia

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: not_flagged, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

CMS Penalties

source: Centers for Medicare & Medicaid Services (CMS) — Civil Money Penalties

dataset_id: cms-cmp

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: not_flagged, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

Industry payments

None on file

0 CMS Open Payments records on file for this NPI.

Source:CMS Open PaymentsChecked 2026-09-20

14-tuple provenance (1)

CMS Open Payments

source: CMS Open Payments (Sunshine Act physician payment disclosures)

dataset_id: cms-open-payments

snapshot: —

methodology: open-payments/v1

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: not_present, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: 2013-08-01

coverage_end: ongoing

slsa_provenance_url: —

upstream source

Order & referring eligibility

None on file

No CMS Order and Referring record on file for this NPI.

Source:CMS Order and ReferringChecked 2026-09-20

14-tuple provenance (1)

CMS Order and Referring

source: Centers for Medicare & Medicaid Services (CMS)

dataset_id: cms-order-referring

snapshot: —

methodology: cms-order-referring/v1

last_checked: 2026-09-20T07:36:04.916Z

confidence: 1

data_availability: not_present, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: —

coverage_end: ongoing

slsa_provenance_url: —

upstream source

Medicare opt-out

None on file

No CMS Medicare opt-out affidavit on file for this NPI.

Source:CMS Opt Out AffidavitsChecked 2026-09-20

14-tuple provenance (1)

CMS Opt Out Affidavits

source: Centers for Medicare & Medicaid Services (CMS)

dataset_id: cms-opt-out-affidavits

snapshot: —

methodology: cms-opt-out/v1

last_checked: 2026-09-20T07:36:04.917Z

confidence: 1

data_availability: not_present, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: 1998-01-01

coverage_end: ongoing

slsa_provenance_url: —

upstream source

Revalidation

On file

1 Medicare enrollment record on file.

Due date: TBD upstream — not due within the ensuing six months.

Source:CMS Medicare Revalidation Due Date ListChecked 2026-09-20

14-tuple provenance (1)

CMS Medicare Revalidation Due Date List

source: Centers for Medicare & Medicaid Services (CMS)

dataset_id: cms-revalidation-due-dates

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T07:36:04.917Z

confidence: 1

data_availability: present, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: 2011-03-25

coverage_end: ongoing

slsa_provenance_url: —

upstream source

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=…