Mallory Jene Grani, APRN, CNP, PMHNP-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Chisholm, Minnesota. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northern Tranquility Mental Health Services and her current practice location is
12 W Lake St, Chisholm, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 254-0101.
Mallory Jene Grani is licensed to practice in North Dakota (license number 200991) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376422139.
Provider's Profile
| Full Name | Mallory Jene Grani |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 12 W Lake St, Chisholm, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mallory Jene Grani graduated from nursing school in 2025
NPI Data:
- NPI Number: 1376422139
- Provider Enumeration Date: 08/27/2025
- Last Update Date: 08/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 9931606605
- Enrollment ID: I20251008002392
Medical Identifiers
Medical identifiers for Mallory Jene Grani such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376422139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 200991 (North Dakota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northern Tranquility Mental Health Services | 4981009479 | 6 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mallory Jene Grani is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mallory Jene Grani, APRN, CNP, PMHNP-C
12 W Lake St,
Chisholm, MN 55719-1817
Ph: (218) 254-0101 | Mallory Jene Grani, APRN, CNP, PMHNP-C
12 W Lake St,
Chisholm, MN 55719-1817
Ph: (218) 254-0101 |
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