Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RENEW HEALTH LLC
NPI 1336808831
Nurse Practitioner in Roswell, NM

Active since December 12, 2021CLIA 32D2252529 · Waiver
800 W 2ND ST, ROSWELL, NM 88201(575) 363-3189(575) 363-3188 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, Mar 16, 2026, Mar 12, 2026 and 6 more (9 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 Address800 W 2ND STRoswell, NM 88201-3004
Mailing Address800 W 2nd StRoswell, NM 88201-3004 · (575) 363-3189 · Fax (575) 363-3188
Fax(575) 363-3188
Organization SubpartNo
Authorized OfficialRobert Trent CarterOwner · (575) 363-3189
Enumeration DateDecember 12, 2021
Last NPPES UpdateOctober 13, 20269 updates tracked since enumeration
NPPES CertifiedOctober 13, 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
800 W 2ND ST, 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 2901 Delaware AveAlamogordo, NM 88310-6917 · Phone (575) 363-3189 · Fax (575) 363-3188

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renew Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Renew Health LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1346812245
800 W 2ND ST
Roswell, NM 88201
(575) 363-3189
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1962086876
207 N UNION AVE STE E
Roswell, NM 88201
(575) 363-3189
✔ PECOS✔ Accepts Medicare1.3 mi
Clinical Social Worker
NPI 1134667496
207 N UNION AVE STE E
Roswell, NM 88201
(575) 363-3189
✔ PECOS1.3 mi
Nurse Practitioner
NPI 1972287183
208 PORR DR
Ruidoso, NM 88345
(575) 630-1214
✔ PECOS✔ Accepts Medicare67 mi
Nurse Practitioner
NPI 1699583831
12519 TRIPLE CROWN AVE
El Paso, TX 79928
(915) 549-3946
✔ PECOS✔ Accepts Medicare158 mi
Nurse Practitioner
NPI 1831954841
320 S RIDGE RD
Silver City, NM 88061
(575) 534-3803
✔ PECOS222 mi
Nurse Practitioner
NPI 1225748437
3206 INTERSTATE 30 WEST SUITE B
Greenville, TX 75402
(903) 408-7979
✔ PECOS✔ Accepts Medicare487 mi

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 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 Health800 W Second St, Roswell, NM 88201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 800 W 2nd St, Roswell, NM 88201. The listed phone number is (575) 363-3189.

What is Renew Health LLC's specialty?

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

Is Renew Health LLC enrolled in Medicare?

Yes. Renew Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renew Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Renew Health LLC. 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 Nurse Practitioner (6) and Clinical Social Worker (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

When was this NPI record last updated?

The NPPES record for Renew Health LLC was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.