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MARIA ANGEL NANYONJO PMHNP-BC
NPI 1497644603
Nurse Practitioner - Psychiatric/Mental Health in Waltham, MA

Active since July 01, 2025PECOS Enrolled
411 WAVERLY OAKS RD STE 166, WALTHAM, MA 02452(978) 675-5129(508) 363-7312 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Maria Angel Nanyonjo Pmhnp-bc NPPES

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

MARIA ANGEL NANYONJO PMHNP-BC (NPI 1497644603) is an individual psychiatric/mental health provider in Waltham, Massachusetts, licensed in Massachusetts (APRN10004423) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1497644603
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARIA ANGEL NANYONJOCredential: PMHNP-BC
Location Address411 WAVERLY OAKS RD STE 166Waltham, MA 02452-8513
Mailing Address411 Waverly Oaks Rd Ste 166Waltham, MA 02452-8513 · (978) 675-5129 · Fax (508) 363-7312
Phone(978) 675-5129
Fax(508) 363-7312
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
✔ NPI 1497644603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · APRN10004423
411 WAVERLY OAKS RD STE 166, Waltham, MA 02452
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maria Angel Nanyonjo Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254807241
PECOS Enrollment IDI20260417000099
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Maria Nanyonjo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Supportive Behavioral Care Of Ma LLC
8.0 mi
Clinical
150 LINCOLN ST
Needham, MA 02492
  • Reassigned Medicare billing, Massachusetts enrollment
  • 240 clinicians in this Medicare group
NPI 1780115519 (718) 298-4375

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02452 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Maria Nanyonjo's NPI number?

The NPI number for Maria Nanyonjo is 1497644603. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is Maria Nanyonjo located?

Maria Nanyonjo practices at 411 Waverly Oaks Rd Ste 166, Waltham, MA 02452. The listed phone number is (978) 675-5129.

What is Maria Nanyonjo's specialty?

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

Is Maria Nanyonjo enrolled in Medicare?

Yes. Maria Nanyonjo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maria Nanyonjo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Nanyonjo reassigns Medicare benefits to Supportive Behavioral Care Of Ma LLC (Needham, MA). The 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 Maria Nanyonjo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maria Nanyonjo was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.