COLLABORATIVE CARE CONSULTANTS LLC
NPI 1972309987
Nurse Practitioner - Pediatrics in Saint Paul, MN

NPI Status: Active since February 20, 2025

Contact Information

1057 GRAND AVE FL 2
SAINT PAUL, MN
ZIP 55105
Phone: (651) 384-1736
Fax: (651) 666-1507

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  • Organization
  • Nurse Practitioner
  • Pediatrics

About COLLABORATIVE CARE CONSULTANTS LLC

This page provides the complete NPI Profile along with additional information for Collaborative Care Consultants Llc, a provider established in Saint Paul, Minnesota operating as a Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1972309987 assigned on February 2025. The practitioner's primary taxonomy code is 363LP0200X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Gretchen Moen (Owner)

NPI
1972309987
Provider Name
COLLABORATIVE CARE CONSULTANTS LLC
Entity Type
Organization
Location Address
1057 GRAND AVE FL 2 SAINT PAUL, MN 55105
Location Phone
(651) 384-1736
Location Fax
(651) 666-1507
Mailing Address
4734 WESTMINSTER CIR EAGAN, MN 55122
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-20-2025
Last Update Date
07-18-2025
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A nurse practitioner (NP) like Collaborative Care Consultants Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Pediatrics

Taxonomy Code
363LP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GRETCHEN MOEN

Authorized Official Title
OWNER
Authorized Official Phone
(651) 485-3923

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1972309987, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 3 → 6 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 4 + 2 + 6 + 0 + 1 + 8 + 9 + 1 + 6 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1972309987.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Pediatrics)
1057 GRAND AVE FL 2
SAINT PAUL, MN 55105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972309987, enumerated as an "organization" on February 20, 2025.

The provider is located at 1057 GRAND AVE FL 2 SAINT PAUL, MN 55105 and the phone number is (651) 384-1736.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.