ROAN SANTOS BAUTISTA CNP
NPI 1336866995
Nurse Practitioner in Boston, MA
About Roan Santos Bautista Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROAN SANTOS BAUTISTA CNP (NPI 1336866995) is an individual nurse practitioner in Boston, Massachusetts, licensed in Massachusetts (RN273897) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Roan Santos Bautista Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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 Roan Bautista's NPI number?
The NPI number for Roan Bautista is 1336866995. It was assigned to this individual provider in the NPPES registry on October 25, 2022.
Where is Roan Bautista located?
Roan Bautista practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (781) 259-8565.
What is Roan Bautista's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Roan Bautista enrolled in Medicare?
Yes. Roan Bautista is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Roan Bautista was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Roan Santos Bautista, CNP · NPI 1336866995
Nurse Practitioner physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since October 25, 2022.
## Identity
- **NPI:** 1336866995 (Entity type: Individual)
- **Enumerated:** October 25, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN273897 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 55 FRUIT ST, Boston, MA 02114-2621
- **Phone:** (781) 259-8565
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336866995) · Data from the CMS NPPES public registry.