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

Active since February 20, 2025
1057 GRAND AVE FL 2, SAINT PAUL, MN 55105(651) 384-1736(651) 666-1507 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Collaborative Care Consultants Llc NPPES

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

COLLABORATIVE CARE CONSULTANTS LLC (NPI 1972309987) is a healthcare organization registered as a pediatrics in Saint Paul, Minnesota and active in the NPI registry since February 2025. The organization lists Gretchen Moen, Owner, as its authorized official.

NPPES Registry Identity

NPI1972309987
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameCOLLABORATIVE CARE CONSULTANTS LLC
Location Address1057 GRAND AVE FL 2Saint Paul, MN 55105-3002
Mailing Address4734 Westminster CirEagan, MN 55122-2756
Phone(651) 384-1736
Fax(651) 666-1507
Organization SubpartNo
Authorized OfficialGretchen MoenOwner · (651) 485-3923
Enumeration DateFebruary 20, 2025
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1972309987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
1057 GRAND AVE FL 2, Saint Paul, MN 55105
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. GRETCHEN A MOEN DNP, APRN, CPNP
Nurse Practitioner (Pediatrics)
1057 GRAND AVE FL 2
SAINT PAUL, MN 55105
Ramsey County (651) 384-1736

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 Collaborative Care Consultants LLC's NPI number?

The NPI number for Collaborative Care Consultants LLC is 1972309987. It was assigned to this organization in the NPPES registry on February 20, 2025.

Where is Collaborative Care Consultants LLC located?

Collaborative Care Consultants LLC is located at 1057 Grand Ave Fl 2, Saint Paul, MN 55105. The listed phone number is (651) 384-1736.

What is Collaborative Care Consultants LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Collaborative Care Consultants LLC was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.