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GREEN HEALTH COLLECTIVE, LLC
NPI 1255184206
Nurse Practitioner - Family in Woodbridge, CT

Active since April 09, 2024
270 AMITY RD STE 132, WOODBRIDGE, CT 06525(203) 318-6143(475) 271-8574 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 12, 2024, Jun 20, 2024, Apr 9, 2024 (3 updates tracked since 2024).

About Green Health Collective, Llc NPPES

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

GREEN HEALTH COLLECTIVE, LLC (NPI 1255184206) is a healthcare organization registered as a family in Woodbridge, Connecticut and active in the NPI registry since April 2024. The organization lists Christa Mann, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1255184206
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGREEN HEALTH COLLECTIVE, LLC
Location Address270 AMITY RD STE 132Woodbridge, CT 06525-2236
Mailing Address270 Amity Rd Ste 132Woodbridge, CT 06525-2236 · (203) 318-6143 · Fax (475) 271-8574
Phone(203) 318-6143
Fax(475) 271-8574
Organization SubpartNo
Authorized OfficialChrista MannOwner/operator · (607) 426-5939
Enumeration DateApril 9, 2024
Last NPPES UpdateSeptember 12, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1255184206 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
270 AMITY RD STE 132, Woodbridge, CT 06525
Open in Google Maps ↗

Other Identifiers 1

Medicaid008063350CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Green Health Collective, 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 Green Health Collective, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Christa Mann, APRN, FNP-C
Nurse Practitioner
NPI 1699145789
270 AMITY RD STE 132
Woodbridge, CT 06525
(033) 186-1432
✔ PECOSSame address

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

CLIA Laboratory Certificates CMS CLIA

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 07D2312047

Green Health Collective, LLC · Woodbridge, CT
Expired · Oct 2, 2026
CLIA Number07D2312047
Laboratory TypePractitioner Other
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorChrista M. Mann
Laboratory Phone(203) 318-6143
Laboratory LocationGreen Health Collective, LLC270 Amity Road, Suite 132, Woodbridge, CT 06525
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Green Health Collective, LLC's NPI number?

The NPI number for Green Health Collective, LLC is 1255184206. It was assigned to this organization in the NPPES registry on April 9, 2024.

Where is Green Health Collective, LLC located?

Green Health Collective, LLC is located at 270 Amity Rd Ste 132, Woodbridge, CT 06525. The listed phone number is (203) 318-6143.

What is Green Health Collective, LLC's specialty?

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

Is Green Health Collective, LLC enrolled in Medicare?

Yes. Green Health Collective, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Green Health Collective, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Green Health Collective, 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.

When was this NPI record last updated?

The NPPES record for Green Health Collective, LLC was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.