RENEGADE PERFORMANCE LLC
NPI 1568901577
Chiropractor in Sayre, PA
About Renegade Performance Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENEGADE PERFORMANCE LLC (NPI 1568901577) is a healthcare organization registered as a chiropractor in Sayre, Pennsylvania and active in the NPI registry since February 2017. The organization lists Ryan Mullen, 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)
Renegade Performance Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Renegade Performance LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Renegade Performance LLC's NPI number?
The NPI number for Renegade Performance LLC is 1568901577. It was assigned to this organization in the NPPES registry on February 23, 2017.
Where is Renegade Performance LLC located?
Renegade Performance LLC is located at 418 S Keystone Ave, Sayre, PA 18840. The listed phone number is (570) 886-0385.
What is Renegade Performance LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Renegade Performance LLC enrolled in Medicare?
Yes. Renegade Performance LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Renegade Performance LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Renegade Performance 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Renegade Performance LLC was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Renegade Performance Llc · NPI 1568901577
Chiropractor organization in Sayre, Pennsylvania. Organization record, active in the CMS NPPES registry since February 23, 2017.
## Identity
- **NPI:** 1568901577 (Entity type: Organization)
- **Enumerated:** February 23, 2017
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Ryan Mullen, OWNER
## Practice location
- **Address:** 418 S KEYSTONE AVE, Sayre, PA 18840-1553
- **Phone:** (570) 886-0385
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1568901577) · Data from the CMS NPPES public registry.