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ROOSEVELT GENERAL HOSPITAL
NPI 1073517058
General Acute Care Hospital in Portales, NM

Active since June 08, 2005CLIA 32D1047449 · Waiver
42121 US HIGHWAY 70, PORTALES, NM 88130(575) 359-1800(575) 356-9200 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Roosevelt General Hospital NPPES

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

ROOSEVELT GENERAL HOSPITAL (NPI 1073517058) is a healthcare organization registered as a general acute care hospital in Portales, New Mexico and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through May 14, 2027 and lists William E Boyer, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1073517058
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT
Location Address42121 US HIGHWAY 70Portales, NM 88130-9357
Mailing AddressPo Box 868Portales, NM 88130-0868 · (575) 359-1800 · Fax (575) 356-9200
Phone(575) 359-1800
Fax(575) 356-9200
Organization SubpartNo
Authorized OfficialWilliam E BoyerChief Financial Officer · (575) 356-3416
Enumeration DateJune 8, 2005
Last NPPES UpdateApril 15, 2019
✔ NPI 1073517058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in NM · 3061
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
42121 US HIGHWAY 70, Portales, NM 88130
Open in Google Maps ↗

Other Names 1

Doing Business AsRoosevelt General Hospital

Other Identifiers 11

Medicaid148185503TX
Other17678Presbyterian Salud/hospit
Medicaid148185501TX
Medicaid148185502TX
OtherNM007684Bcbs/physicians
Other23587Lovelace Salud/hospital
OtherNM000077Bcbs/hospital
Other23587Lovelace Salud/physicians
MedicaidG8465NM
MedicaidG8765NM
OtherG8786Medicaid/physicians

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roosevelt General Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew MexicoEnrollment IDO20071121000186Part A · HospitalDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

49

Medicare enrollment records show 49 clinicians reassign Medicare billing to Roosevelt General Hospital, which bills Medicare for the services they deliver. Of these, 10 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Diagnostic Radiology14
Nurse Practitioner13
Emergency Medicine6
Family Practice5
General Surgery4
Cardiovascular Disease (Cardiology)2
Orthopedic Surgery2
Clinical Social Worker1
2 other specialties2

Nearest to this location (20)

See all 49
Jamie Bassell, CNP
Nurse Practitioner
NPI 1841736915
42121 US HIGHWAY 70
Portales, NM 88130
(575) 356-6652
✔ PECOS✔ Accepts MedicareSame address
Charlene Beck, CNP
Nurse Practitioner
NPI 1770683278
42121 US HIGHWAY 70
Portales, NM 88130
(575) 356-6652
✔ PECOSSame address
Shanna Campbell, NP
Nurse Practitioner
NPI 1013771393
42121 US HIGHWAY 70
Portales, NM 88130
(575) 356-6652
✔ PECOS✔ Accepts MedicareSame address
Praveen Chava, M.D.
Family Practice
NPI 1922380708
42121 US HWY 70
Portales, NM 88130
(575) 356-6652
✔ PECOS✔ Accepts MedicareSame address
Erika Garcia, MD
Family Practice
NPI 1669646006
42121 US HWY 70
Portales, NM 88130
(575) 356-6652
✔ PECOS✔ Accepts MedicareSame address
Vineela Lavu, MD
Family Practice
NPI 1558618850
42121 US HWY 70
Portales, NM 88130
(575) 356-6652
✔ PECOS✔ Accepts MedicareSame address
Krishna Lingala, MD
Physical Medicine and Rehabilitation
NPI 1215021696
42121 US HWY 70
Portales, NM 88130
(575) 356-6652
✔ PECOS✔ Accepts MedicareSame address
Laura Lowrey, NP
Nurse Practitioner
NPI 1720033004
42121 US 70
Portales, NM 88130
(575) 356-6652
✔ PECOSSame address
Marielle Opena, DO
Family Practice
NPI 1588287874
42121 US HIGHWAY 70
Portales, NM 88130
(575) 356-6652
✔ PECOS✔ Accepts MedicareSame address
Cristy Walsh, CNM
Nurse Practitioner
NPI 1023060142
42121 US HIGHWAY 70
Portales, NM 88130
(575) 356-6652
✔ PECOS✔ Accepts MedicareSame address
Basil Anaele, MD
Pediatric Medicine
NPI 1437403813
1521 W 13TH ST
Clovis, NM 88101
(575) 769-0888
✔ PECOS18 mi
Brandi North
Nurse Practitioner
NPI 1154915163
1808 AVONDALE BLVD
Clovis, NM 88101
(575) 309-4805
✔ PECOS✔ Accepts Medicare20 mi
Glynda Dallas, CNP
Nurse Practitioner
NPI 1255383261
2000 W 21ST ST #A-1
Clovis, NM 88101
(575) 762-8055
✔ PECOS20 mi
Edna Zapata, CNP
Nurse Practitioner
NPI 1003400680
2000 W 21ST ST STE A1
Clovis, NM 88101
(575) 762-8055
✔ PECOS✔ Accepts Medicare20 mi
Mohammad Hassan, MD
Cardiovascular Disease (Cardiology)
NPI 1427012681
2000 W 21ST ST W7
Clovis, NM 88101
(575) 763-3666
✔ PECOS✔ Accepts Medicare20 mi
Beverly Shields, NP
Nurse Practitioner
NPI 1407484744
2000 W 21ST ST STE R1
Clovis, NM 88101
(575) 935-0944
✔ PECOS✔ Accepts Medicare20 mi
Reavis Bell, FNP-BC
Nurse Practitioner
NPI 1427713536
2001 W 21ST ST
Clovis, NM 88101
(575) 935-1625
✔ PECOS✔ Accepts Medicare20 mi
Melissa Sprinkle, CNP
Nurse Practitioner
NPI 1821492638
2000 W 21ST ST SUITE A-1
Clovis, NM 88101
(575) 762-8055
✔ PECOS✔ Accepts Medicare21 mi
Abi James, MD, FACS, DABOM
General Surgery
NPI 1568987758
233 FAIRWAY TER N STE B
Clovis, NM 88101
(575) 762-7779
✔ PECOS✔ Accepts Medicare21 mi
Ahmad Othman, M.D.
General Surgery
NPI 1255688271
233 FAIRWAY TER N STE B
Clovis, NM 88101
(575) 762-7779
✔ PECOS✔ Accepts Medicare21 mi
See all 49 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D1047449

Roosevelt General Hospital Nursing Services · Portales, NM
Active · expires May 14, 2027
CLIA Number32D1047449
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorMercedes H. Lopez
Laboratory Phone(575) 359-1800
Laboratory LocationRoosevelt General Hospital Nursing Services42121 Us 70, Portales, NM 88130
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Roosevelt General Hospital (CMS certification number 320084), from CMS Care Compare.

Roosevelt General Hospital

Acute Care Hospitals · Portales, NM
OwnershipGovernment - Hospital District or Authority
CMS Certification Number320084
Location42121 Us Highway 70Portales, NM 88130 · Roosevelt County · (575) 356-3412
Emergency services Meaningful use of EHRs

Complications & Deaths 13

Death rate for heart attack patients
Cases too small to report
Death rate for COPD patients
Cases too small to report
Death rate for heart failure patients
Cases too small to report
Death rate for pneumonia patients
19.8% No different than national
Death rate for stroke patients
Cases too small to report
Pressure ulcer rate
0.62 No different than national

Unplanned Hospital Visits 12

Hospital return days for heart attack patients
Cases too small to report
Hospital return days for heart failure patients
Cases too small to report
Hospital return days for pneumonia patients
40 days per 100 discharges
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)
76 No different than national
Rate of inpatient admissions for patients receiving outpatient chemotherapy
Cases too small to report
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy
Cases too small to report

Timely & Effective Care 11

Emergency department volume
Low
Admit Decision Time to ED Departure Time for Admitted Patients - non psychiatric/mental health disorders
73 minutes
Percentage of healthcare personnel who are up to date with COVID-19 vaccinations
28.5%
Healthcare workers given influenza vaccination
75%
Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better
216 minutes
Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better
485 minutes

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 Roosevelt County Special Hospital District's NPI number?

The NPI number for Roosevelt County Special Hospital District is 1073517058. It was assigned to this organization in the NPPES registry on June 8, 2005. The provider is doing business as Roosevelt General Hospital.

Where is Roosevelt County Special Hospital District located?

Roosevelt County Special Hospital District is located at 42121 Us Highway 70, Portales, NM 88130. The listed phone number is (575) 359-1800.

What is Roosevelt County Special Hospital District's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Roosevelt County Special Hospital District enrolled in Medicare?

Yes. Roosevelt County Special Hospital District is registered in the Medicare PECOS enrollment system.

When is Roosevelt County Special Hospital District's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (New Mexico, Hospital) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Roosevelt County Special Hospital District?

According to the CMS Revalidation Reassignment List (October 2026 release), 49 clinicians in 10 Medicare specialties reassign their Medicare billing to Roosevelt County Special Hospital District. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (14), Nurse Practitioner (13) and Emergency Medicine (6). Of these, 10 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Roosevelt County Special Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D1047449) is associated with this NPI, valid through May 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Roosevelt County Special Hospital District a Medicare-certified hospital?

Yes. Roosevelt General Hospital is a Medicare-certified hospital (Acute Care Hospitals). The hospital provides emergency services.

When was this NPI record last updated?

The NPPES record for Roosevelt County Special Hospital District was last updated on April 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.