BRIGHTSTAR BEHAVIORAL HEALTH SERVICES LLC
NPI 1386510378
Nurse Practitioner - Psychiatric/Mental Health in Albertville, MN

Active since October 15, 2025
5703 LACHMAN AVE NE, ALBERTVILLE, MN 55301(763) 291-3169 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brightstar Behavioral Health Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIGHTSTAR BEHAVIORAL HEALTH SERVICES LLC (NPI 1386510378) is a healthcare organization registered as a psychiatric/mental health in Albertville, Minnesota and active in the NPI registry since October 2025. The organization lists Pius Awandem Tanyifor, Director, as its authorized official.

NPPES Registry Identity

NPI1386510378
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBRIGHTSTAR BEHAVIORAL HEALTH SERVICES LLC
Location Address5703 LACHMAN AVE NEAlbertville, MN 55301-3973
Mailing Address7722 Mackenzie Ave NeOtsego, MN 55330-5031 · (763) 291-3169 · Fax (763) 291-3169
Organization SubpartNo
Authorized OfficialPius Awandem TanyiforDirector · (763) 291-3169
Enumeration DateOctober 15, 2025
Last NPPES UpdateJuly 10, 2026
NPPES CertifiedJuly 10, 2026
✔ NPI 1386510378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
5703 LACHMAN AVE NE, Albertville, MN 55301

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brightstar Behavioral Health Services 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 Brightstar Behavioral Health Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1679296248
2115 COUNTY ROAD D E STE 100
Saint Paul, MN 55109
(651) 358-7020
✔ PECOS35 mi

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 Brightstar Behavioral Health Services LLC's NPI number?

The NPI number for Brightstar Behavioral Health Services LLC is 1386510378. It was assigned to this organization in the NPPES registry on October 15, 2025.

Where is Brightstar Behavioral Health Services LLC located?

Brightstar Behavioral Health Services LLC is located at 5703 Lachman Ave NE, Albertville, MN 55301. The listed phone number is (763) 291-3169.

What is Brightstar Behavioral Health Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Brightstar Behavioral Health Services LLC enrolled in Medicare?

Yes. Brightstar Behavioral Health Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brightstar Behavioral Health Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Brightstar Behavioral Health Services 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 Brightstar Behavioral Health Services LLC was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.