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
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- 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 July 2025. The organization operates as a single speciality business group with one or more individual providers who practice 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
- Code Navigator
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.
Location Map
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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 7 | 2 | 3 | 0 | 9 | 9 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 6 | 0 | 18 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 6 + 0 + 1 + 8 + 9 + 1 + 6 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1972309987 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
DR. GRETCHEN A MOEN DNP, APRN, CPNP
Nurse Practitioner
(Pediatrics)
1057 GRAND AVE FL 2
SAINT PAUL, MN
ZIP 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.
