Individual provider Active NPI

Charity Carstensen, ARNP

  • Family Nurse Practitioner
  • Pella, IA
National Provider Identifier
1881008704
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A120812 Issued in IA
Practice address
1119 E 2ND St
Pella, IA 50219-1200
Phone
(641) 619-5154
Fax
(641) 230-9082
NPI assigned
Jun 18, 2014
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A120812 IA Primary

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 identifiers 2

IdentifierTypeStateIssuer
P01364306OtherIARR MEDICARE
1881008704MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140819000112 IA Practitioner - Nurse Practitioner 2062639891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation CurrentSince Sep 22, 2014 Accepting new patients
Restore Health Collaborative PLLC Family CurrentSince Feb 25, 2025 Accepting new patients
Trinity Medical Center Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

1221 Pleasant St
Ste 200
Des Moines, IA 50309
Phone (515) 241-8221

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1881008704",
    "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",
            "fax_number": "641-230-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSTENSEN",
        "first_name": "CHARITY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A120812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01364306",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881008704",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pella, IA

Sources for this page

Verify at the official NPI Registry.