Borealis Wellness Clinic LLC
NPI 1912279316 · Clinic/Center · Medford, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Borealis Wellness Clinic LLC is a Clinic/Center organization in Medford, WI (NPI 1912279316).
Provider details
- NPI number
- 1912279316
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Klinner, Owner(715) 748-4433
- License
- 4855-12 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs 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
- 2012-01-31
- Last updated
- 2022-11-02
- Certified
- 2022-11-02
Frequently asked questions
- What is Borealis Wellness Clinic LLC's NPI number?
- Borealis Wellness Clinic LLC's National Provider Identifier (NPI) is 1912279316, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Borealis Wellness Clinic LLC?
- Borealis Wellness Clinic LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Borealis Wellness Clinic LLC located?
- Borealis Wellness Clinic LLC's practice location on file with NPPES is 123 W State St, Medford, WI 54451-1772.
- What is Borealis Wellness Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Borealis Wellness Clinic LLC is (715) 748-4333.
- Does Borealis Wellness Clinic LLC accept Medicare?
- Borealis Wellness Clinic LLC 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 Wellness Clinic LLC?
- The authorized official listed on Borealis Wellness Clinic LLC's NPPES record is Samuel Klinner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Borealis Wellness Clinic LLC's NPI active?
- Yes — Borealis Wellness Clinic LLC's NPI (1912279316) is active in the NPPES registry as of the last update on 2022-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.