Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sandra Marie Roque, MS, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1649729914

Sandra Marie Roque, MS, AGACNP-BC is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2016, 10 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
10
Licensed in
MA
In the registry since
2016
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 726-2000
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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 RN2268606 (MA)

Record details

NPI number1649729914
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , AGACNP-BC
Sole proprietorNo
NPI enumeratedSeptember 28, 2016
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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