Organization Active NPI

Restore Health Collaborative PLLC

  • Clinic/Center
  • Pella, IA
National Provider Identifier
1689497141
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RESTORE HEALTH COLLABORATIVE PLLC
Practice address
1119 E 2ND St
Pella, IA 50219-1200
Phone
(641) 619-5154
NPI assigned
Nov 4, 2024
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charity Carstensen, ARNPNPI 1881008704
Title
Owner
Phone
(641) 619-5154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Family Nurse Practitioner 363LF0000X NU

Addresses

Primary practice location

1119 E 2ND St
Pella, IA 50219-1200

Mailing address

1119 E 2ND St
Pella, IA 50219-1200
Phone (641) 619-5154

Other practice location 1

608 8th St SW
Altoona, IA 50009-2301
Phone (515) 661-6124

Other identifiers 1

IdentifierTypeStateIssuer
1972808079MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250417001435 IA Part B Supplier - Clinic/Group Practice 3678098126 Receives reassigned benefits from 2 practitioners
Practice locations: Pella, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2315615Restore Health Collaborative, PLLC1119 E 2ND St Ste a, Pella, IA 50219Certificate of waiverDec 16, 2026
16D2344952Restore Health Collaborative PLLC608 8TH St SW, Altoona, IA 50009Certificate of waiverJun 1, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1689497141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 E 2ND ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191200",
            "telephone_number": "641-619-5154",
            "fax_number": "641-230-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 E 2ND ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191200",
            "telephone_number": "641-619-5154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 8th St SW",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "IA",
            "postal_code": "500092301",
            "country_code": "US",
            "telephone_number": "515-661-6124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORE HEALTH COLLABORATIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "CARSTENSEN",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-619-5154",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972808079",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pella, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.