Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RESTORATION HEALTH LLC
NPI 1376429928
Nurse Practitioner - Family in New Plymouth, ID

Active since August 11, 2025
5089 SE 1 1/2 AVE, NEW PLYMOUTH, ID 83655(986) 207-1720(866) 531-4582 Get Directions Write a Review

NPPES record last updated: October 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 7, 2025, Sep 11, 2025, Aug 11, 2025 (3 updates tracked since 2025).

About Restoration Health Llc NPPES

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

RESTORATION HEALTH LLC (NPI 1376429928) is a healthcare organization registered as a family in New Plymouth, Idaho and active in the NPI registry since August 2025. The organization lists Crystal Mcnally, Agnp, as its authorized official.

NPPES Registry Identity

NPI1376429928
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameRESTORATION HEALTH LLC
Location Address5089 SE 1 1/2 AVENew Plymouth, ID 83655-5254
Mailing Address5089 Se 1 1/2 AveNew Plymouth, ID 83655-5254 · (986) 207-1720 · Fax (866) 531-4582
Fax(866) 531-4582
Organization SubpartNo
Authorized OfficialCrystal McnallyAgnp · (986) 207-1720
Enumeration DateAugust 11, 2025
Last NPPES UpdateOctober 25, 20263 updates tracked since enumeration
NPPES CertifiedOctober 25, 2026
✔ NPI 1376429928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
5089 SE 1 1/2 AVE, New Plymouth, ID 83655

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Restoration Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Restoration Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1609418722
910 NW 16TH ST
Fruitland, ID 83619
(208) 452-8000
✔ PECOS✔ Accepts Medicare8.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Restoration Health LLC's NPI number?

The NPI number for Restoration Health LLC is 1376429928. It was assigned to this organization in the NPPES registry on August 11, 2025.

Where is Restoration Health LLC located?

Restoration Health LLC is located at 5089 SE 1 1/2 Ave, New Plymouth, ID 83655. The listed phone number is (986) 207-1720.

What is Restoration Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Restoration Health LLC enrolled in Medicare?

Yes. Restoration Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Restoration Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Restoration Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Restoration Health LLC accept?

Health plans from Molina Healthcare list Restoration Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Restoration Health LLC was last updated on October 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.