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RUBEN A. SUPAN, LLC
NPI 1053802892
Nurse Practitioner - Family in Roswell, NM

Active since May 29, 2018
405 W COUNTRY CLUB RD, ROSWELL, NM 88201(575) 363-3134(575) 208-0780 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2021, Dec 18, 2018, Sep 27, 2018 and 2 more (5 updates tracked since 2018).

About Ruben A. Supan, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUBEN A. SUPAN, LLC (NPI 1053802892) is a healthcare organization registered as a family in Roswell, New Mexico and active in the NPI registry since May 2018. The organization lists Ruben Supan, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1053802892
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameRUBEN A. SUPAN, LLC
Location Address405 W COUNTRY CLUB RDRoswell, NM 88201-5209
Mailing AddressPo Box 8244Roswell, NM 88202-8244 · (575) 208-0224
Phone(575) 363-3134
Fax(575) 208-0780
Organization SubpartNo
Authorized OfficialRuben SupanNurse Practitioner · (505) 409-0831
Enumeration DateMay 29, 2018
Last NPPES UpdateJuly 6, 20215 updates tracked since enumeration
NPPES CertifiedJuly 6, 2021
✔ NPI 1053802892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
405 W COUNTRY CLUB RD, Roswell, NM 88201
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Other Identifiers 1

Medicaid23386363NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HANY NAGY YASSA MD
Hospitalist
405 W COUNTRY CLUB RD
ROSWELL, NM 88201
Chaves County (505) 622-8170
MICHAEL S BERG CRNA
Nurse Anesthetist, Certified Registered
405 W COUNTRY CLUB RD
ROSWELL, NM 88201
Chaves County (505) 622-8170
CHRISTOPHER MATHEW LYNN CRNA
Nurse Anesthetist, Certified Registered
405 W COUNTRY CLUB RD
ROSWELL, NM 88201
Chaves County (575) 622-8170
DR. JAMES DOUGLAS MACQUEEN D.O.
Emergency Medicine
405 W COUNTRY CLUB RD
ROSWELL, NM 88201
Chaves County (505) 892-0177
SUCHITHA BHEEMREDDY MD
Internal Medicine
405 W COUNTRY CLUB RD
ROSWELL, NM 88201
Chaves County (248) 346-5640
STEFANIA ROK CRNA
Nurse Anesthetist, Certified Registered
405 W COUNTRY CLUB RD
ROSWELL, NM 88201
Chaves County (575) 622-8170
CHRISTOPHER NUNEZ FNP-C
Nurse Practitioner (Family)
405 W COUNTRY CLUB RD
ROSWELL, NM 88201
Chaves County (575) 622-8170
APP OF NEW MEXICO HM PLLC
Hospitalist
405 W COUNTRY CLUB RD
ROSWELL, NM 88201
Chaves County (575) 622-8170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ruben A. Supan, LLC's NPI number?

The NPI number for Ruben A. Supan, LLC is 1053802892. It was assigned to this organization in the NPPES registry on May 29, 2018.

Where is Ruben A. Supan, LLC located?

Ruben A. Supan, LLC is located at 405 W Country Club Rd, Roswell, NM 88201. The listed phone number is (575) 363-3134.

What is Ruben A. Supan, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Ruben A. Supan, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Ruben A. Supan, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ruben A. Supan, LLC was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.