NEW LEAF BEHAVIORAL HEALTH, LLC
NPI 1053275693
Nurse Practitioner in Waltham, MA
About New Leaf Behavioral Health, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEW LEAF BEHAVIORAL HEALTH, LLC (NPI 1053275693) is a healthcare organization registered as a nurse practitioner in Waltham, Massachusetts and active in the NPI registry since December 2025. The organization lists Rosette Wakanabo, Owner/ Director, 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)
New Leaf Behavioral Health, 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 New Leaf Behavioral Health, 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 New Leaf Behavioral Health, LLC's NPI number?
The NPI number for New Leaf Behavioral Health, LLC is 1053275693. It was assigned to this organization in the NPPES registry on December 9, 2025.
Where is New Leaf Behavioral Health, LLC located?
New Leaf Behavioral Health, LLC is located at 681 Main St, Waltham, MA 02451. The listed phone number is (508) 371-8503.
What is New Leaf Behavioral Health, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is New Leaf Behavioral Health, LLC enrolled in Medicare?
Yes. New Leaf Behavioral Health, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through New Leaf Behavioral Health, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to New Leaf Behavioral Health, 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 New Leaf Behavioral Health, LLC was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# New Leaf Behavioral Health, Llc · NPI 1053275693
Nurse Practitioner organization in Waltham, Massachusetts. Organization record, active in the CMS NPPES registry since December 9, 2025.
## Identity
- **NPI:** 1053275693 (Entity type: Organization)
- **Enumerated:** December 9, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Rosette Wakanabo, OWNER/ DIRECTOR
## Practice location
- **Address:** 681 MAIN ST, Waltham, MA 02451-0633
- **Phone:** (508) 371-8503
## 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:** December 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053275693) · Data from the CMS NPPES public registry.