Mrs. Anna Christine Toomsen, ARNP

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

• Franklin General Hospital Hospital · Hampton, IA
• Mercyone North Iowa Medical Center Hospital · Mason City, IA · listed as Mercy Medical Center North Iowa
• Sheffield Care Center Nursing home · Sheffield, IA
• Mercyone Des Moines Medical Center Hospital · Des Moines, IA

Colleagues at North Iowa Mercy Clinics

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 300 clinicians in the practice; 12 are shown here.

• Anwar Alan Androun, PA-C Physician Assistant · Tinley Park, IL
• Beth Brady, CRNA Anesthesiology Physician · Clarion, IA
• Dustin J Carda, PA-C Physician Assistant · Duluth, MN
• Dr. Hanna Chehade, MD Obstetrics & Gynecology Physician · Henderson, NV
• Dr. Analisa R Haberman, DO Family Medicine Physician · Mason City, IA
• Jenna Leigh Haglund, LMSW Social Worker · Mason City, IA
• Mackenzie Danielle Lukes, PA-C Physician Assistant · Mason City, IA
• Taylor May, MD Family Medicine Physician · Clear Lake, IA
• Kjerstin Leigh Mosby, ARNP Family Nurse Practitioner · Lake Mills, IA
• Tyler Mulkey, DPM Podiatrist · Beaumont, TX
• Michael J Qualey, MD Anesthesiology Physician · Mason City, IA
• Claire Williams, PA Student in an Organized Health Care Education/Training Program · Mason City, IA

Other providers in Sheffield

• Amber Marzen, ARNP

  Individual Family Nurse Practitioner · NPI 1902577331

  203 S 2nd St, Sheffield, IA 50475-5008 · (641) 892-4495