Collaborative Care Consultants LLC
NPI 1972309987ActiveOrganization· Nurse Practitioner, Pediatrics· Saint Paul, MN
Nurse Practitioner, Pediatrics in Saint Paul, Minnesota, registered in NPPES in February 2025. The authorized official on file is Gretchen Moen, Owner.
Overview
| NPI | 1972309987 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 20, 2025 |
| Last updated in NPPES | Jul 18, 2025 |
| Certified by provider | Jul 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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