Individual provider Active NPI

Suellen Duque, MSN, APRN, FNP-C

  • Internal Medicine Physician
  • Marlborough, MA
National Provider Identifier
1427667526
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
RN2324971 Issued in MA
Practice address
65 Fremont St Ofc 6
Marlborough, MA 01752-1271
Phone
(508) 658-2246
Fax
(508) 785-7969
NPI assigned
Jul 24, 2020
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X RN2324971 MA Primary

Addresses

Primary practice location

65 Fremont St Ofc 6
Marlborough, MA 01752-1271

Mailing address

65 Fremont St Ofc 6
Marlborough, MA 01752-1271
Phone (508) 658-2246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230913002135 MA Practitioner - Nurse Practitioner 4082078738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

65 Fremont St
Ofc 6
Marlborough, MA 01752-1271
Phone (508) 658-2246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Health Alliance LLC CurrentSince Aug 4, 2025 Accepting new patients
Greater Boston Medical Associates, Inc. PastSince Aug 1, 2020 Accepting new patients
Clear Sight Eye Consultants LLC PastSince Aug 4, 2025 Accepting new patients

Locations

65 Fremont St
Ofc 6
Marlborough, MA 01752
Phone (508) 485-6653

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3094/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1427667526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 FREMONT ST OFC 6",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521271",
            "telephone_number": "508-658-2246",
            "fax_number": "508-785-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 FREMONT ST OFC 6",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521271",
            "telephone_number": "508-658-2246",
            "fax_number": "508-785-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUQUE",
        "first_name": "SUELLEN",
        "credential": "MSN,  APRN,  FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "RN2324971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.