CLEMENTINE HEALTH AND WELLNESS
NPI 1902632904
Nurse Practitioner - Psychiatric/Mental Health in Colorado Springs, CO
About Clementine Health And Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLEMENTINE HEALTH AND WELLNESS (NPI 1902632904) is a healthcare organization registered as a psychiatric/mental health in Colorado Springs, Colorado and active in the NPI registry since September 2024. The organization lists Keenan Griego, Np, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clementine Health And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Clementine Health And Wellness, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 Clementine Health And Wellness's NPI number?
The NPI number for Clementine Health And Wellness is 1902632904. It was assigned to this organization in the NPPES registry on September 9, 2024.
Where is Clementine Health And Wellness located?
Clementine Health And Wellness is located at 225 E Cheyenne Mountain Blvd Ste 100, Colorado Springs, CO 80906. The listed phone number is (719) 204-3429.
What is Clementine Health And Wellness's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Clementine Health And Wellness enrolled in Medicare?
Yes. Clementine Health And Wellness is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clementine Health And Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Clementine Health And Wellness. 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 Clementine Health And Wellness was last updated on September 9, 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.
# Clementine Health And Wellness · NPI 1902632904
Psychiatric/Mental Health organization in Colorado Springs, Colorado. Organization record, active in the CMS NPPES registry since September 9, 2024.
## Identity
- **NPI:** 1902632904 (Entity type: Organization)
- **Enumerated:** September 9, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Keenan Griego, NP
## Practice location
- **Address:** 225 E CHEYENNE MOUNTAIN BLVD STE 100, Colorado Springs, CO 80906-3700
- **Phone:** (719) 204-3429
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1902632904) · Data from the CMS NPPES public registry.