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MARIA C ROQUE ARNP
NPI 1730452103
Nurse Practitioner - Family in Port Orange, FL

Active since February 16, 2012PECOS EnrolledAccepts Medicare Assignment
3691 CLYDE MORRIS BLVD, PORT ORANGE, FL 32129(386) 675-4411(866) 542-5859 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2022, Nov 29, 2021, Jul 12, 2021 and 2 more (5 updates tracked since 2018).

About Maria C Roque Arnp NPPES

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

MARIA C ROQUE ARNP (NPI 1730452103) is an individual family provider in Port Orange, Florida, licensed in Florida (ARNP9190540) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1730452103
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIA C ROQUECredential: ARNP
Location Address3691 CLYDE MORRIS BLVDPort Orange, FL 32129-2317
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(386) 675-4411
Fax(866) 542-5859
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 16, 2012
Last NPPES UpdateFebruary 17, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1730452103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP9190540
3691 CLYDE MORRIS BLVD, Port Orange, FL 32129
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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 and accepts Medicare assignment

Maria C Roque Arnp 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.

PECOS PAC ID5092965566
PECOS Enrollment IDI20121017000915
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 Roque reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Conviva Medical Center Management LLC
236 mi
Internal Medicine
6101 BLUE LAGOON DR STE 200
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 535 clinicians in this Medicare group
NPI 1649324278 (305) 500-2000

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32129 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENISE JACKS ARNP
Nurse Practitioner (Adult Health)
3691 CLYDE MORRIS BLVD
PORT ORANGE, FL 32129
Volusia County (386) 675-4411
DR. PRADYUMANSINH M CHUDASAMA MD
Internal Medicine
3691 CLYDE MORRIS BLVD
PORT ORANGE, FL 32129
Volusia County (386) 675-4411
DR. CORETTA NICHELLE MURPHY M.D.
Internal Medicine
3691 CLYDE MORRIS BLVD
PORT ORANGE, FL 32129
Volusia County (386) 675-4411
EDWARD SUPINSKI MD
Internal Medicine
3691 CLYDE MORRIS BLVD
PORT ORANGE, FL 32129
Volusia County (386) 675-4411
DO YOON HWANG M.D.
Family Medicine
3691 CLYDE MORRIS BLVD
PORT ORANGE, FL 32129
Volusia County (386) 675-4410
LILIA DENEB VENTO VALVERDE APRN
Nurse Practitioner (Family)
3691 CLYDE MORRIS BLVD
PORT ORANGE, FL 32129
Volusia County (386) 675-4411

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 Roque's NPI number?

The NPI number for Maria Roque is 1730452103. It was assigned to this individual provider in the NPPES registry on February 16, 2012.

Where is Maria Roque located?

Maria Roque practices at 3691 Clyde Morris Blvd, Port Orange, FL 32129. The listed phone number is (386) 675-4411.

What is Maria Roque's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Maria Roque enrolled in Medicare?

Yes. Maria Roque 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.

Which organization bills Medicare for Maria Roque's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Roque reassigns Medicare benefits to Conviva Medical Center Management LLC (Miami, FL). 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 Roque'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 Roque was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.