Why this was flagged
2 providers share this street address
This address is the registered location of 2 separate Medicare-enrolled providers. Legitimate causes exist (shared medical office buildings, management companies), but dense clustering of billing entities at one address is a known fraud pattern.
Source CMS Hospice Enrollments · record as of 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 641824
Other providers at this street address (1)
SPENCER MUNICIPAL HOSPITAL
Incorporated —
Owners and managing parties of record
CITY OF SPENCER IOWA
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Sep 15, 2011
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
BRUCE NYSTROM
CORPORATE DIRECTOR · I · 0% ownership · since Jan 1, 2018
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
STACY ELLYN MOL
CORPORATE DIRECTOR · I · since Jan 2, 2026
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
GARY CHARLES VANHOFWEGEN
CORPORATE DIRECTOR · I · since Jan 1, 2016
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
STEVEN THOMAS LENSING
CORPORATE DIRECTOR · I · since Jan 1, 2016
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JULIE LYNN CHRISTENSEN
CORPORATE DIRECTOR · I · since Jan 1, 2016
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ALANA KLIEGL
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · since Sep 4, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ALANA KLIEGL
W-2 MANAGING EMPLOYEE · I · since Sep 4, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
BRENDA MARIE TIEFENTHALER
CORPORATE DIRECTOR · I · since Nov 15, 2005
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
COLLEEN ANN PAULSEN
W-2 MANAGING EMPLOYEE · I · since Oct 1, 2015
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
BRENDA MARIE TIEFENTHALER
W-2 MANAGING EMPLOYEE · I · since Jul 10, 2005
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
AMANDA BARE
CORPORATE DIRECTOR · I · since Jan 1, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
Source timeline
Every flag on this provider is built from one or more published government files. Below is each file that contributed, the weekly pulls we have of it, and the actual records read from it.
CMS Hospice Enrollments
- 2 providers share this street address
Weekly refreshes
- 18 Sept 2026 (in use)5,802 records5,000 added · 1 changed · 0 removedpublisher data as of 27 Jul 2026
Records read from this file
- SPENCER MUNICIPAL HOSPITALNPI 1871580662 · certification 161533 · 101 E 10TH ST, SPENCER, IA
- SPENCER MUNICIPAL HOSPITALsame street address in the same file
CMS Hospice All Owners
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- CITY OF SPENCER IOWA5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2011-09-15
- BRUCE NYSTROMCORPORATE DIRECTOR · 0% share · since 2018-01-01
- STACY ELLYN MOLCORPORATE DIRECTOR · since 2026-01-02
- GARY CHARLES VANHOFWEGENCORPORATE DIRECTOR · since 2016-01-01
- STEVEN THOMAS LENSINGCORPORATE DIRECTOR · since 2016-01-01
- JULIE LYNN CHRISTENSENCORPORATE DIRECTOR · since 2016-01-01
- ALANA KLIEGL5% OR GREATER DIRECT OWNERSHIP INTEREST · since 2020-09-04
- ALANA KLIEGLW-2 MANAGING EMPLOYEE · since 2020-09-04
cms_hospice_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Avera @ Home Of Spencer Hospital — 2024$558,885 paid · 80 patients
Where every detail came from
Each value below is traced to the published file it was read from, the day we downloaded it, and the weekly version it belongs to. Open the link to check the original record yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | SPENCER MUNICIPAL HOSPITAL | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Trading name | AVERA@HOME OF SPENCER HOSPITAL | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1871580662 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | 161533 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 4183533060 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Provider type | PART A PROVIDER - HOSPICE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Organisation type | OTHER | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Street address | 101 E 10TH ST | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | SPENCER | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State | IA | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| ZIP | 513014307 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
What changed
How this provider's public record has moved between weekly refreshes. See the whole week.
Nothing has changed for this provider since we started comparing weekly refreshes.
Public research history
Nobody has worked this lead yet. Notes published by investigators stay here even after a claim expires.
Readers judge whether this flag holds up. A note only reaches the top when people who usually disagree both rate it helpful.
No notes yet. If you have checked this provider, say what you found.