NORTHERN TRANQUILITY MENTAL HEALTH SERVICES
NPI 1700469640
Community/Behavioral Health in Chisholm, MN
About Northern Tranquility Mental Health Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHERN TRANQUILITY MENTAL HEALTH SERVICES (NPI 1700469640) is a healthcare organization registered as a community/behavioral health in Chisholm, Minnesota and active in the NPI registry since April 2021. The organization lists Melissa Sue Brusacoram, Owner, Ceo, Aprn-cnp, Pmhnp-bc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Northern Tranquility Mental Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Northern Tranquility Mental Health Services, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 Northern Tranquility Mental Health Services's NPI number?
The NPI number for Northern Tranquility Mental Health Services is 1700469640. It was assigned to this organization in the NPPES registry on April 29, 2021.
Where is Northern Tranquility Mental Health Services located?
Northern Tranquility Mental Health Services is located at 12 W Lake St, Chisholm, MN 55719. The listed phone number is (218) 296-0688.
What is Northern Tranquility Mental Health Services's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Northern Tranquility Mental Health Services enrolled in Medicare?
Yes. Northern Tranquility Mental Health Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northern Tranquility Mental Health Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Northern Tranquility Mental Health Services. 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. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Northern Tranquility Mental Health Services accept?
Health plans from HealthPartners and Sanford Health Plan list Northern Tranquility Mental Health Services 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 Northern Tranquility Mental Health Services was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Northern Tranquility Mental Health Services · NPI 1700469640
Community/Behavioral Health organization in Chisholm, Minnesota. Organization record, active in the CMS NPPES registry since April 29, 2021.
## Identity
- **NPI:** 1700469640 (Entity type: Organization)
- **Enumerated:** April 29, 2021
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Melissa Brusacoram, OWNER, CEO, APRN-CNP, PMHNP-BC
## Practice location
- **Address:** 12 W LAKE ST, Chisholm, MN 55719-1817
- **Phone:** (218) 296-0688 · **Fax:** (844) 921-1071
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1700469640) · Data from the CMS NPPES public registry.