Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Jennie Jon Bata, APRN/DNP/PMHNP/FNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1255506929

MS. Jennie Jon Bata, APRN/DNP/PMHNP/FNP is a Nurse Practitioner in Grand Rapids, Minnesota. Qualified in 2014, 12 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Minnesota and North Dakota.

Years since qualifying
12
Licensed in
MN, ND
In the registry since
2008
Specialties on file
4

Practice location Address checks out

813 S Pokegama Ave Lowr Level
Grand Rapids, MN 55744
Phone: (218) 297-1900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 7612 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R30139 (ND)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 7612 (MN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence R30139 (ND)

Record details

NPI number1255506929
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN/DNP/PMHNP/FNP
Sole proprietorNo
NPI enumeratedApril 24, 2008
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Grand Rapids