BRIGHT STAR BEHAVIORAL, LLC
NPI 1114685880
Nurse Practitioner - Psychiatric/Mental Health in Pawtucket, RI
About Bright Star Behavioral, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIGHT STAR BEHAVIORAL, LLC (NPI 1114685880) is a healthcare organization registered as a psychiatric/mental health in Pawtucket, Rhode Island and active in the NPI registry since November 2021. The organization lists Rebecca Frempong Antwi, 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)
Bright Star Behavioral, Llc 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 Bright Star Behavioral, LLC, 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 Bright Star Behavioral, LLC's NPI number?
The NPI number for Bright Star Behavioral, LLC is 1114685880. It was assigned to this organization in the NPPES registry on November 30, 2021.
Where is Bright Star Behavioral, LLC located?
Bright Star Behavioral, LLC is located at 110 Armistice Blvd, Pawtucket, RI 02860. The listed phone number is (508) 762-7344.
What is Bright Star Behavioral, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Bright Star Behavioral, LLC enrolled in Medicare?
Yes. Bright Star Behavioral, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bright Star Behavioral, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bright Star Behavioral, LLC. 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 Bright Star Behavioral, LLC was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Bright Star Behavioral, Llc · NPI 1114685880
Psychiatric/Mental Health organization in Pawtucket, Rhode Island. Organization record, active in the CMS NPPES registry since November 30, 2021.
## Identity
- **NPI:** 1114685880 (Entity type: Organization)
- **Enumerated:** November 30, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Rebecca Antwi, OWNER
## Practice location
- **Address:** 110 ARMISTICE BLVD, Pawtucket, RI 02860-5354
- **Phone:** (508) 762-7344
## 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:** October 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1114685880) · Data from the CMS NPPES public registry.