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

Roberta Johnson

Individual provider Nurse Practitioner · NPI 1558070466

Roberta Johnson is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2022, 4 years ago. Practices with MA SNF Physicians PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022
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Practice location Address checks out

416 Belmont St
Worcester, MA 01604-1086
Phone: (508) 756-1808
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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 RN278413 (MA)

Record details

NPI number1558070466
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 18, 2022
Last updated in NPPESNovember 18, 2022
Certification dateNovember 17, 2022
Mailing address1 Johnathan Pass, Dudley, MA 01571-6068

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ma Snf Physicians Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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