Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Frederick Bon Maquito Colon, AGPCNP

Individual provider Nurse Practitioner · NPI 1063030914

Frederick Bon Maquito Colon, AGPCNP is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2020, 6 years ago. Practices with Incare LLC, a 62-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
6
Licensed in
NH
In the registry since
2020
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Practice location Address checks out

55 Fruit St # 444
Boston, MA 02114-2621
Phone: (617) 726-3363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 060714-23 (NH)

Record details

NPI number1063030914
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP
Sole proprietorYes
NPI enumeratedJuly 8, 2020
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Incare Llc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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