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BOREALIS WELLNESS CLINIC LLC
NPI 1912279316
Clinic/Center in Medford, WI

Active since January 31, 2012
123 W STATE ST, MEDFORD, WI 54451(715) 748-4333(715) 748-6304 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 2, 2022, Sep 28, 2022 (2 updates tracked since 2022).

About Borealis Wellness Clinic Llc NPPES

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

BOREALIS WELLNESS CLINIC LLC (NPI 1912279316) is a healthcare organization registered as a clinic/center in Medford, Wisconsin and active in the NPI registry since January 2012. The organization lists Samuel Robert Klinner, Owner, as its authorized official.

NPPES Registry Identity

NPI1912279316
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBOREALIS WELLNESS CLINIC LLC
Location Address123 W STATE STMedford, WI 54451-1772
Mailing Address123 W State StMedford, WI 54451-1772 · (715) 748-4333 · Fax (715) 748-6304
Phone(715) 748-4333
Fax(715) 748-6304
Organization SubpartNo
Authorized OfficialSamuel Robert KlinnerOwner · (715) 748-4433
Enumeration DateJanuary 31, 2012
Last NPPES UpdateNovember 2, 20222 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1912279316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in WI · 4855-12
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
123 W STATE ST, Medford, WI 54451
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.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 Wellness Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Borealis Wellness Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Ryan Paul
Chiropractic
NPI 1659061240
123 W STATE ST
Medford, WI 54451
(715) 748-4433
✔ Accepts MedicareSame address
Jacob Rhyner, DC
Chiropractic
NPI 1053181768
123 W STATE ST
Medford, WI 54451
(715) 748-4433
✔ Accepts MedicareSame address
Samuel Klinner, D.C.
Chiropractic
NPI 1003188509
115 E PERKINS ST
Medford, WI 54451
(715) 748-4433
✔ Accepts Medicare0.2 mi
Megan Thompson
Chiropractic
NPI 1679051411
601 E SPRUCE ST
Abbotsford, WI 54405
(715) 223-6308
✔ Accepts Medicare13 mi

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 Wellness Clinic LLC's NPI number?

The NPI number for Borealis Wellness Clinic LLC is 1912279316. It was assigned to this organization in the NPPES registry on January 31, 2012.

Where is Borealis Wellness Clinic LLC located?

Borealis Wellness Clinic LLC is located at 123 W State St, Medford, WI 54451. The listed phone number is (715) 748-4333.

What is Borealis Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Borealis Wellness Clinic LLC enrolled in Medicare?

Yes. Borealis Wellness Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Borealis Wellness Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign their Medicare billing to Borealis Wellness Clinic LLC. 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 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Borealis Wellness Clinic LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Borealis Wellness Clinic LLC 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 Wellness Clinic LLC was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.