MR. RUBEN ALFARO SUPAN NP-C
NPI 1619392883
Nurse Practitioner - Family in Roswell, NM
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
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
3Medicare enrollment records show Ruben Supan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roswell, NM 88201
- Reassigned Medicare billing, New Mexico enrollment
Roswell, NM 88201
- Reassigned Medicare billing, New Mexico enrollment
- 3 clinicians in this Medicare group
Roswell, NM 88203
- Reassigned Medicare billing, New Mexico enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NMPhysician 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.
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.
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 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.
Where is Ruben Supan located?
Ruben Supan practices at 405 W Country Club Rd, Roswell, NM 88201. The listed phone number is (505) 409-0831.
What is Ruben Supan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ruben Supan enrolled in Medicare?
Yes. Ruben Supan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ruben Supan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ruben Supan reassigns Medicare benefits to 3 organizations: Priority Medical And Health Services LLC (Roswell, NM), Ruben A. Supan, LLC (Roswell, NM) and State Of New Mexico (Roswell, NM). Each 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 Ruben Supan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ruben Supan affiliated with any hospitals?
According to CMS data, Ruben Supan is affiliated with Eastern New Mexico Medical Center.
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.
# Mr. Ruben Alfaro Supan, NP-C · NPI 1619392883
Family physician in Roswell, New Mexico. Individual provider, active in the CMS NPPES registry since February 25, 2014.
## Identity
- **NPI:** 1619392883 (Entity type: Individual)
- **Enumerated:** February 25, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CNP-02362 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 405 W COUNTRY CLUB RD, Roswell, NM 88201-5209
- **Phone:** (505) 409-0831
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Priority Medical And Health Services LLC (NPI 1144956533, Roswell, NM); Ruben A. Supan, LLC (NPI 1053802892, Roswell, NM); State Of New Mexico (NPI 1922094770, Roswell, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** October 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1619392883) · Data from the CMS NPPES public registry.