MALLORY JENE GRANI APRN, CNP, PMHNP-C
NPI 1376422139
Nurse Practitioner - Psychiatric/Mental Health in Chisholm, MN

Active since August 27, 2025PECOS EnrolledAccepts Medicare Assignment
12 W LAKE ST, CHISHOLM, MN 55719(218) 254-0101 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mallory Jene Grani Aprn, Cnp, Pmhnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY JENE GRANI APRN, CNP, PMHNP-C (NPI 1376422139) is an individual psychiatric/mental health provider in Chisholm, Minnesota, licensed in North Dakota (200991) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1376422139
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMALLORY JENE GRANICredential: APRN, CNP, PMHNP-C
Location Address12 W LAKE STChisholm, MN 55719-1817
Mailing Address12 W Lake StChisholm, MN 55719-1817 · (218) 254-0101
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
NPI 1376422139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in ND · 200991
12 W LAKE ST, Chisholm, MN 55719

Other Names 1

Other Name (5)Mallory Jene Halling

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mallory Jene Grani Aprn, Cnp, Pmhnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931606605
PECOS Enrollment IDI20251008002392
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55719 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
12 W LAKE ST
CHISHOLM, MN 55719
Community/Behavioral Health
12 W LAKE ST
CHISHOLM, MN 55719

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 Mallory Grani's NPI number?

The NPI number for Mallory Grani is 1376422139. It was assigned to this individual provider in the NPPES registry on August 27, 2025. The provider is also known as Mallory Jene Halling.

Where is Mallory Grani located?

Mallory Grani practices at 12 W Lake St, Chisholm, MN 55719. The listed phone number is (218) 254-0101.

What is Mallory Grani's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mallory Grani enrolled in Medicare?

Yes. Mallory Grani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mallory Grani was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.