RENEW HEALTH LLC
NPI 1336808831
Nurse Practitioner in Roswell, NM

Active since December 12, 2021CLIA 32D2252529 · Waiver
207 N UNION AVE STE E, ROSWELL, NM 88201(940) 399-6165 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2026, Mar 12, 2026, Sep 11, 2025 and 5 more (8 updates tracked since 2021).

About Renew Health Llc NPPES

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

RENEW HEALTH LLC (NPI 1336808831) is a healthcare organization registered as a nurse practitioner in Roswell, New Mexico and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through February 10, 2028, maintains 2 additional practice locations, and lists Robert Trent Carter, Owner, as its authorized official.

NPPES Registry Identity

NPI1336808831
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameRENEW HEALTH LLC
Location Address207 N UNION AVE STE ERoswell, NM 88201-3068
Mailing Address207 N Union Ave Ste ERoswell, NM 88201-3068 · (575) 363-3189 · Fax (575) 363-3088
Organization SubpartNo
Authorized OfficialRobert Trent CarterOwner · (575) 363-3189
Enumeration DateDecember 12, 2021
Last NPPES UpdateMarch 16, 20268 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
NPI 1336808831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedSocial WorkerTaxonomy 104100000X
207 N UNION AVE STE E, Roswell, NM 88201

Secondary Practice Locations 2

Location 1809 Parkland Dr Ste BClovis, NM 88101-4474 · Phone (575) 363-3189 · Fax (575) 363-3088
Location 21900 10th StAlamogordo, NM 88310-5053 · Phone (575) 363-3189 · Fax (575) 363-3088

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 32D2252529

Renew Health · Roswell, NM
Active · expires Feb 10, 2028
CLIA Number32D2252529
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2026
Certificate Expiration DateFebruary 10, 2028
Laboratory DirectorRobert T. Carter
Laboratory Phone(575) 363-3189
Laboratory LocationRenew Health207 N Union Ave, Ste E, Roswell, NM 88201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Psychiatric/Mental Health)
207 N UNION AVE STE E
ROSWELL, NM 88201
Social Worker (Clinical)
207 N UNION AVE STE E
ROSWELL, NM 88201
Dentist (Oral and Maxillofacial Surgery)
207 N UNION AVE STE E
ROSWELL, NM 88201
Nurse Practitioner (Family)
207 N UNION AVE STE E
ROSWELL, NM 88201
Nurse Practitioner
207 N UNION AVE STE E
ROSWELL, NM 88201

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 Renew Health LLC's NPI number?

The NPI number for Renew Health LLC is 1336808831. It was assigned to this organization in the NPPES registry on December 12, 2021.

Where is Renew Health LLC located?

Renew Health LLC is located at 207 N Union Ave Ste E, Roswell, NM 88201. The listed phone number is (940) 399-6165.

What is Renew Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Renew Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2252529) is associated with this NPI, valid through February 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Renew Health LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Renew Health 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 Renew Health LLC was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.