ANEW LIFE LLC
NPI 1265173488
Nurse Practitioner - Psychiatric/Mental Health in Brockton, MA
About Anew Life Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANEW LIFE LLC (NPI 1265173488) is a healthcare organization registered as a psychiatric/mental health in Brockton, Massachusetts and active in the NPI registry since April 2022. The organization lists Nadine Rousseau, Ceo, 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)
Anew Life 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 Anew Life 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 Anew Life LLC's NPI number?
The NPI number for Anew Life LLC is 1265173488. It was assigned to this organization in the NPPES registry on April 3, 2022.
Where is Anew Life LLC located?
Anew Life LLC is located at 59 Fletcher St, Brockton, MA 02302. The listed phone number is (508) 991-9024.
What is Anew Life LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Anew Life LLC enrolled in Medicare?
Yes. Anew Life LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Anew Life LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Anew Life 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 Anew Life LLC was last updated on July 15, 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.
# Anew Life Llc · NPI 1265173488
Psychiatric/Mental Health organization in Brockton, Massachusetts. Organization record, active in the CMS NPPES registry since April 3, 2022.
## Identity
- **NPI:** 1265173488 (Entity type: Organization)
- **Enumerated:** April 3, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Nadine Rousseau, CEO
## Practice location
- **Address:** 59 FLETCHER ST, Brockton, MA 02302-2015
- **Phone:** (508) 991-9024
## 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:** July 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265173488) · Data from the CMS NPPES public registry.