JOHN ROBERTS ANP-BC
NPI 1558346296
Nurse Practitioner - Adult Health in Roxbury, MA

Q: What is John Roberts's NPI number?

The NPI number for John Roberts is 1558346296. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Q: What is John Roberts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for John Roberts was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since December 14, 2005PECOS Enrolled

45 DIMOCK ST, ROXBURY, MA 02119(617) 442-8800(617) 541-8472 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John Roberts Anp-bc NPPES

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

JOHN ROBERTS ANP-BC (NPI 1558346296) is an individual adult health provider in Roxbury, Massachusetts, licensed in Massachusetts (RN153029) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558346296

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameJOHN ROBERTSCredential: ANP-BC

Location Address45 DIMOCK STRoxbury, MA 02119-1208

Mailing Address55 Dimock StRoxbury, MA 02119-1029 · (617) 442-8800 · Fax (617) 442-4088

Phone(617) 442-8800

Fax(617) 541-8472

Sole ProprietorNo

Enumeration DateDecember 14, 2005

Last NPPES UpdateJune 9, 2022

NPPES CertifiedJune 9, 2022

✔ NPI 1558346296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MA · RN153029

45 DIMOCK ST, Roxbury, MA 02119

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Roberts Anp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02119 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.

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.

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