Mallory Jene Grani, APRN, CNP, PMHNP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

200991 Issued in ND

Practice address

12 W Lake St
Chisholm, MN 55719-1817

Phone

(218) 254-0101

NPI assigned

Aug 27, 2025

Last updated

Aug 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mallory Jene Halling Other name

Medicare fee-for-service enrollment

Enrolled in MN, ND2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Tranquility Mental Health ServicesGroup PAC ID 4981009479, 6 clinicians

Miller Psychiatric Care PLLCGroup PAC ID 9931566379, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northern Tranquility Mental Health Services

  • Community/Behavioral Health Agency
  • Chisholm, MN
  • NPI 1700469640

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Miller Psychiatric Care PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fargo, ND
  • NPI 1982301727

  MN

  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1376422139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W LAKE ST",
            "city": "CHISHOLM",
            "state": "MN",
            "postal_code": "557191817",
            "telephone_number": "218-254-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W LAKE ST",
            "city": "CHISHOLM",
            "state": "MN",
            "postal_code": "557191817",
            "telephone_number": "218-254-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANI",
        "first_name": "MALLORY",
        "middle_name": "JENE",
        "credential": "APRN, CNP, PMHNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "200991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "HALLING",
            "middle_name": "JENE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• City of Chisholm
• E.H. Lawrence Co., Inc.
• Timothy William Ellison
• Steve G Enich, D.D.S
• Megan Gornick, OTR;/L
• Heather Hope Halverson, CMT
• Karen Anderson Heck, D.D.S.
• Collin Eric Howard
• In Home Harmony Corp
• Ind School Dis 695 (Chisholm Public Schools)

• Psychiatric/Mental Health Nurse Practitioner in Chisholm, MN
• Providers in Chisholm, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.