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PREMISE HEALTH OF IOWA MEDICAL P C
NPI 1053202713
Clinic/Center - Multi-Specialty in Pella, IA

Active since July 11, 2025CLIA Certified · 2 labs
1562 WASHINGTON ST, PELLA, IA 50219(641) 200-1117(641) 206-5421 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2026, Jul 11, 2025 (2 updates tracked since 2025).

About Premise Health Of Iowa Medical P C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMISE HEALTH OF IOWA MEDICAL P C (NPI 1053202713), doing business as Pella Corporation Wellness Center, Powered By Premise Health, is a healthcare organization registered as a multi-specialty in Pella, Iowa and active in the NPI registry since July 2025. The organization holds 2 active CLIA laboratory certificates and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1053202713
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF IOWA MEDICAL P C
Location Address1562 WASHINGTON STPella, IA 50219-7580
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(641) 200-1117
Fax(641) 206-5421
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateJuly 11, 2025
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1053202713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1562 WASHINGTON ST, Pella, IA 50219
Open in Google Maps ↗

Other Names 1

Doing Business AsPella Corporation Wellness Center, Powered By Premise Health

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2327583

Premise Health Of Iowa Medical, PC · Pella, IA
Active · expires Jul 23, 2027
CLIA Number16D2327583
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorTimothy Dykstra
Laboratory Phone(641) 200-1117
Laboratory LocationPremise Health Of Iowa Medical, PC1562 Washington Ave, Pella, IA 50219
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 16D2136909

Premise Health Of Iowa Medical PC · Pella, IA
Active · expires Sep 17, 2027
CLIA Number16D2136909
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorVicki Giesselmann
Laboratory Phone(641) 621-8279
Laboratory LocationPremise Health Of Iowa Medical PC1610 Vermeer Road East Plant 3-1/2, Pella, IA 50219
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBRA SUE NORTHCUTT LMHC
Counselor (Mental Health)
1562 WASHINGTON ST
PELLA, IA 50219
Marion County (641) 200-1117
WALGREEN CO.
Pharmacy
1562 WASHINGTON ST, STE 100RX
PELLA, IA 50219
Marion County (641) 651-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premise Health Of Iowa Medical P C's NPI number?

The NPI number for Premise Health Of Iowa Medical P C is 1053202713. It was assigned to this organization in the NPPES registry on July 11, 2025. The provider is doing business as Pella Corporation Wellness Center, Powered by Premise Health.

Where is Premise Health Of Iowa Medical P C located?

Premise Health Of Iowa Medical P C is located at 1562 Washington St, Pella, IA 50219. The listed phone number is (641) 200-1117.

What is Premise Health Of Iowa Medical P C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Iowa Medical P C hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Premise Health Of Iowa Medical P C was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.