Borealis Health PLLC
NPI 1184419228 · Mental Health Clinic/Center (Including Community Mental Health Center) · Grand Rapids, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Borealis Health PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Grand Rapids, MN (NPI 1184419228).
Provider details
- NPI number
- 1184419228
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennie Bata, Owner(218) 297-1900
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-04-10
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Frequently asked questions
- What is Borealis Health PLLC's NPI number?
- Borealis Health PLLC's National Provider Identifier (NPI) is 1184419228, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Borealis Health PLLC?
- Borealis Health PLLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Borealis Health PLLC located?
- Borealis Health PLLC's practice location on file with NPPES is 813 S Pokegama Ave Ste a, Grand Rapids, MN 55744-3934.
- What is Borealis Health PLLC's phone number?
- The practice phone number listed in the NPPES registry for Borealis Health PLLC is (218) 297-1900.
- Does Borealis Health PLLC accept Medicare?
- Borealis Health PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Borealis Health PLLC?
- The authorized official listed on Borealis Health PLLC's NPPES record is Jennie Bata, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Borealis Health PLLC's NPI active?
- Yes — Borealis Health PLLC's NPI (1184419228) is active in the NPPES registry as of the last update on 2026-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.