VITALITY MENTAL HEALTH AND WELLNESS PLLC
NPI 1093566226
Nurse Practitioner - Psychiatric/Mental Health in Henderson, TN
About Vitality Mental Health And Wellness Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITALITY MENTAL HEALTH AND WELLNESS PLLC (NPI 1093566226) is a healthcare organization registered as a psychiatric/mental health in Henderson, Tennessee and active in the NPI registry since March 2024. The organization lists Tracey Renee Puckett, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vitality Mental Health And Wellness Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Vitality Mental Health And Wellness PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Vitality Mental Health And Wellness PLLC's NPI number?
The NPI number for Vitality Mental Health And Wellness PLLC is 1093566226. It was assigned to this organization in the NPPES registry on March 27, 2024.
Where is Vitality Mental Health And Wellness PLLC located?
Vitality Mental Health And Wellness PLLC is located at 587 E Main St, Henderson, TN 38340. The listed phone number is (731) 251-3470.
What is Vitality Mental Health And Wellness PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Vitality Mental Health And Wellness PLLC enrolled in Medicare?
Yes. Vitality Mental Health And Wellness PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vitality Mental Health And Wellness PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Vitality Mental Health And Wellness PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Vitality Mental Health And Wellness PLLC was last updated on September 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Vitality Mental Health And Wellness Pllc · NPI 1093566226
Psychiatric/Mental Health organization in Henderson, Tennessee. Organization record, active in the CMS NPPES registry since March 27, 2024.
## Identity
- **NPI:** 1093566226 (Entity type: Organization)
- **Enumerated:** March 27, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Tracey Puckett, OWNER
## Practice location
- **Address:** 587 E MAIN ST, Henderson, TN 38340-2440
- **Phone:** (731) 251-3470 · **Fax:** (731) 201-5250
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093566226) · Data from the CMS NPPES public registry.