Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rosette Wakanabo, RN

Individual provider Registered Nurse · NPI 1629788906

Rosette Wakanabo, RN is a Nurse Practitioner in Lexington, Massachusetts. Qualified in 2025, 1 year ago. Practices with Supportive Behavioral Care of MA LLC, a 106-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2022
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3214 Main Campus Dr
Lexington, MA 02421-8627
Phone: (508) 371-8503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2320331 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN2320331 (MA)

Record details

NPI number1629788906
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedNovember 28, 2022
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address3214 Main Campus Dr, Lexington, MA 02421-8627

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Supportive Behavioral Care Of Ma Llc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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