Individual provider Active NPI

Joannah Bluntach, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hermantown, MN
National Provider Identifier
1902293855
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP 3842 Issued in MN
Practice address
1802 Cloquet Ave
1802 Cloquet Ave
Hermantown, MN 55720
Phone
(612) 429-1011
Fax
(855) 631-0016
NPI assigned
Apr 17, 2015
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4701 HI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP 3842 MN Primary

Addresses

Primary practice location

1802 Cloquet Ave
1802 Cloquet Ave
Hermantown, MN 55720

Mailing address

PO Box 1056
Twig, MN 55791-1056
Phone (612) 429-1011

Other practice location 1

821 Raymond Ave Ste 100
Saint Paul, MN 55114-1525
Phone (612) 429-1011

Other practice location 2

14051 Burnhaven Dr Ste 103
Burnsville, MN 55337-4497
Phone (612) 429-1011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, HI2 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

Enrollment IDStateProvider typePAC IDDetails
I20150601002627 MN Practitioner - Nurse Practitioner 5597086694 Reassigns benefits to 1 organization
I20250422003262 HI Practitioner - Nurse Practitioner 5597086694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compassionate Quality Psychiatry LLCGroup PAC ID 9537533013, 2 clinicians

Practice addresses (Care Compare)

4135 Richard Ave
Suite 201
Hermantown, MN 55811-2979
Phone (612) 429-1011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4701HIMDPsychiatric/Mental Health Nurse Practitioner
CNP 3842MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Transformations P.C. Current Accepting new patients
HP Psychological Associates, PC CurrentSince Jan 1, 2023 Accepting new patients
Aloha Integrative Mental Health CurrentSince Jan 13, 2025 Accepting new patients
Compassionate Quality Psychiatry PLLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

16-586 Old Volcano Rd
Ste 1003227
Keaau, HI 96749

1802 Cloquet Ave
Cloquet, MN 55720
Phone (218) 626-5175

4135 Richard Ave
Ste 201
Hermantown, MN 55811
Phone (218) 464-0908

821 Raymond Ave
Ste 100
Saint Paul, MN 55114
Phone (651) 251-0369

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1902293855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1056",
            "city": "TWIG",
            "state": "MN",
            "postal_code": "557911056",
            "telephone_number": "612-429-1011",
            "fax_number": "855-631-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 CLOQUET AVE",
            "address_2": "1802 CLOQUET AVE",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "55720",
            "telephone_number": "612-429-1011",
            "fax_number": "855-631-0016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 Raymond Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551141525",
            "country_code": "US",
            "telephone_number": "612-429-1011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14051 Burnhaven Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553374497",
            "country_code": "US",
            "telephone_number": "612-429-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUNTACH",
        "first_name": "JOANNAH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "4701",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "CNP 3842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermantown, MN

Sources for this page

Verify at the official NPI Registry.