UNBRIDLED HEALTHCARE SYSTEM LLC
NPI 1184456717
Registered Nurse - Psychiatric/Mental Health in London, KY
About Unbridled Healthcare System Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UNBRIDLED HEALTHCARE SYSTEM LLC (NPI 1184456717) is a healthcare organization registered as a psychiatric/mental health in London, Kentucky and active in the NPI registry since August 2024. The organization lists Terri Tye, Billing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Unbridled Healthcare System Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Unbridled Healthcare System LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 Unbridled Healthcare System LLC's NPI number?
The NPI number for Unbridled Healthcare System LLC is 1184456717. It was assigned to this organization in the NPPES registry on August 14, 2024. The provider is also known as Unbridled Healthcare Systems, LLC.
Where is Unbridled Healthcare System LLC located?
Unbridled Healthcare System LLC is located at 222 N Main St, London, KY 40741. The listed phone number is (606) 215-3832.
What is Unbridled Healthcare System LLC's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.
Is Unbridled Healthcare System LLC enrolled in Medicare?
Yes. Unbridled Healthcare System LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Unbridled Healthcare System LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Unbridled Healthcare System 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. The largest specialties are Nurse Practitioner (6), Clinical Social Worker (1) and General Practice (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Unbridled Healthcare System LLC was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Unbridled Healthcare System Llc · NPI 1184456717
Psychiatric/Mental Health organization in London, Kentucky. Organization record, active in the CMS NPPES registry since August 14, 2024.
## Identity
- **NPI:** 1184456717 (Entity type: Organization)
- **Enumerated:** August 14, 2024
- **Primary specialty:** Registered Nurse - Psychiatric/Mental Health · taxonomy 163WP0808X
- **Also known as:** Unbridled Healthcare Systems, LLC (Other Name)
- **Organization subpart:** Yes (part of Unbridled Healthcare Systems, Llc)
- **Authorized official:** Terri Tye, BILLING
## Practice location
- **Address:** 222 N MAIN ST, London, KY 40741-1367
- **Phone:** (606) 215-3832
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Clinical Social Worker (1), General Practice (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1184456717) · Data from the CMS NPPES public registry.