MR. RUBEN ALFARO SUPAN NP-C
NPI 1619392883
Nurse Practitioner - Family in Roswell, NM

Q: What is Ruben Supan's NPI number?

The NPI number for Ruben Supan is 1619392883. It was assigned to this individual provider in the NPPES registry on February 25, 2014.

Q: What is Ruben Supan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ruben Supan was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 25, 2014PECOS Enrolled

405 W COUNTRY CLUB RD, ROSWELL, NM 88201(505) 409-0831 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 27, 2023, Jul 6, 2021, Dec 18, 2018 (3 updates tracked since 2018).

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About Mr. Ruben Alfaro Supan Np-c NPPES

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

MR. RUBEN ALFARO SUPAN NP-C (NPI 1619392883) is an individual family provider in Roswell, New Mexico, licensed in New Mexico (CNP-02362) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS, is affiliated with Eastern New Mexico Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1619392883

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. RUBEN ALFARO SUPANCredential: NP-C

Location Address405 W COUNTRY CLUB RDRoswell, NM 88201-5209

Mailing AddressPo Box 8244Roswell, NM 88202-8244 · (575) 624-2095

Phone(505) 409-0831

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateFebruary 25, 2014

Last NPPES UpdateOctober 27, 20233 updates tracked since enumeration

NPPES CertifiedOctober 27, 2023

✔ NPI 1619392883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NM · CNP-02362

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License CNP02032 (NM)

405 W COUNTRY CLUB RD, Roswell, NM 88201

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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

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ruben Alfaro Supan Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426271131

PECOS Enrollment IDI20140528000654

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

142 services39 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

68 services41 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

61 services45 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Eastern New Mexico Medical Center

Acute Care Hospitals · Roswell, NM

1/5 CMS rating

OwnershipProprietary

CMS Certification Number320006

Location405 W Country Club RoadRoswell, NM 88201 · Chaves County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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