Roan Bautista, CNP
NPI 1336866995 · Nurse Practitioner · Boston, MA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roan Bautista, CNP is a Nurse Practitioner provider in Boston, MA (NPI 1336866995).
Provider details
- NPI number
- 1336866995
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN273897 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 115 Mill StBelmont, MA 02478-1064Phone: (617) 855-2360
Registry dates
- Enumerated
- 2022-10-25
- Last updated
- 2025-01-15
- Certified
- 2025-01-15
Frequently asked questions
- What is Roan Bautista's NPI number?
- Roan Bautista's National Provider Identifier (NPI) is 1336866995, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roan Bautista's specialty?
- Roan Bautista is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Roan Bautista located?
- Roan Bautista's practice location on file with NPPES is 55 Fruit St, Boston, MA 02114-2621.
- What is Roan Bautista's phone number?
- The practice phone number listed in the NPPES registry for Roan Bautista is (781) 259-8565.
- Does Roan Bautista accept Medicare?
- Roan Bautista is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Roan Bautista's NPI active?
- Yes — Roan Bautista's NPI (1336866995) is active in the NPPES registry as of the last update on 2025-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.