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

Shannon Roberge

Individual provider Surgical Physician Assistant · NPI 1649157504

Shannon Roberge is a Physician Assistant in Boston, Massachusetts. Qualified in 2025, 1 year ago. Practices with Brigham and Womens Physicians Organization Inc, a 2,916-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

75 Francis St
Boston, MA 02115-6106
Phone: (617) 732-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Physician Assistant Taxonomy 363A00000X · Licence PA102032 (MA)

Record details

NPI number1649157504
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 20, 2025
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Brigham And Womens Physicians Organization Inc — 2916 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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