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Roan Santos Bautista, CNP

NPI 1336866995ActiveIndividual· Nurse Practitioner· Boston, MA

Nurse Practitioner (CNP) in Boston, Massachusetts, licensed in MA, with an NPI issued in October 2022. Enrolled in Medicare as practitioner - nurse practitioner.

Overview

NPI1336866995
StatusActive
Entity typeIndividual
CredentialCNP
Sole proprietorYes
NPI issuedOct 25, 2022
Last updated in NPPESJan 15, 2025
Certified by providerJan 15, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000XRN273897MA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (MA)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other nurse practitioners in Boston

All 986 nurse practitioners in Boston · All nurse practitioners in Massachusetts