BOREALIS HEALTH PLLC
NPI 1184419228
Clinic/Center - Mental Health (Including Community Mental Health Center) in Grand Rapids, MN
About Borealis Health Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOREALIS HEALTH PLLC (NPI 1184419228) is a healthcare organization registered as a mental health (including community mental health center) in Grand Rapids, Minnesota and active in the NPI registry since April 2025. The organization lists Jennie Jon Bata, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Borealis Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Borealis Health PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Grand Rapids, MN 55744
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Borealis Health PLLC's NPI number?
The NPI number for Borealis Health PLLC is 1184419228. It was assigned to this organization in the NPPES registry on April 10, 2025.
Where is Borealis Health PLLC located?
Borealis Health PLLC is located at 813 S Pokegama Ave Ste A, Grand Rapids, MN 55744. The listed phone number is (218) 297-1900.
What is Borealis Health PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Borealis Health PLLC enrolled in Medicare?
Yes. Borealis Health PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Borealis Health PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Borealis Health PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Borealis Health PLLC accept?
Health plans from HealthPartners list Borealis Health PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Borealis Health PLLC was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Borealis Health Pllc · NPI 1184419228
Mental Health (Including Community Mental Health Center) organization in Grand Rapids, Minnesota. Organization record, active in the CMS NPPES registry since April 10, 2025.
## Identity
- **NPI:** 1184419228 (Entity type: Organization)
- **Enumerated:** April 10, 2025
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Jennie Bata, OWNER
## Practice location
- **Address:** 813 S POKEGAMA AVE STE A, Grand Rapids, MN 55744-3934
- **Phone:** (218) 297-1900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 14, 2026
- **Other identifiers:** Medicaid 1184419228 (MN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1184419228) · Data from the CMS NPPES public registry.