ROSWELL CLINIC CORP
NPI 1649267618
Family Medicine in Roswell, NM

Active since October 04, 2005
350 W COUNTRY CLUB RD, STE 201, ROSWELL, NM 88201(888) 801-5554 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 25, 2022, Nov 22, 2019 (2 updates tracked since 2019).

About Roswell Clinic Corp NPPES

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

ROSWELL CLINIC CORP (NPI 1649267618) is a healthcare organization registered as a family medicine in Roswell, New Mexico and active in the NPI registry since October 2005. The organization lists Jennifer L Jackson, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1649267618
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROSWELL CLINIC CORP
Location Address350 W COUNTRY CLUB RD, STE 201Roswell, NM 88201-5205
Mailing Address4000 Meridian BlvdFranklin, TN 37067-6325 · (615) 465-7000 · Fax (615) 628-6877
Organization SubpartYes
Authorized OfficialJennifer L JacksonSenior Director, Enrollment · (877) 892-9815
Enumeration DateOctober 4, 2005
Last NPPES UpdateJanuary 25, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2022
✔ NPI 1649267618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedSurgeryTaxonomy 208600000X
350 W COUNTRY CLUB RD, Roswell, NM 88201

Other Identifiers 4

OtherNPI AND TINNM · Bcbs
OtherDA5509NM · Rr Medicare
Medicaid60806516NM
OtherDD5451NM · Rr Medicare

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roswell Clinic Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

68

Medicare enrollment records show 68 clinicians reassign Medicare billing to Roswell Clinic Corp, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 31 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 18

General Surgery16
Pediatric Medicine13
Nurse Practitioner12
Family Practice5
Cardiovascular Disease (Cardiology)3
Certified Nurse Midwife (CNM)3
Otolaryngology3
Gastroenterology2
10 other specialties11

Nearest to this location (20)

See all 68
Obstetrics/Gynecology
NPI 1831109156
350 W COUNTRY CLUB RD SUITE 203
Roswell, NM 88201
(575) 624-4646
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1255112686
350 W COUNTRY CLUB RD STE 203
Roswell, NM 88201
(575) 624-4646
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1235149196
300 W COUNTRY CLUB RD STE 130
Roswell, NM 88201
(575) 625-2669
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598283145
300 W COUNTRY CLUB RD STE 230
Roswell, NM 88201
(575) 622-1411
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1801876115
300 W COUNTRY CLUB RD STE 130
Roswell, NM 88201
(575) 625-2669
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598230112
300 W COUNTRY CLUB RD STE 230
Roswell, NM 88201
(575) 622-1411
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1124009501
300 W COUNTRY CLUB RD STE 210
Roswell, NM 88201
(575) 625-1292
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104356963
300 W COUNTRY CLUB RD STE 230
Roswell, NM 88201
(575) 622-1411
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1396060349
300 W COUNTRY CLUB RD STE 210
Roswell, NM 88201
(575) 622-2911
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1063934818
300 W COUNTRY CLUB RD STE 230
Roswell, NM 88201
(575) 622-1411
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1265437305
300 W COUNTRY CLUB RD STE 230
Roswell, NM 88201
(575) 622-1411
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639725401
300 W COUNTRY CLUB RD STE 130
Roswell, NM 88201
(575) 625-2669
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1568425395
405 W COUNTRY CLUB RD
Roswell, NM 88201
(575) 624-4973
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1104711670
405 W COUNTRY CLUB RD
Roswell, NM 88201
(575) 622-8170
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1720065188
405 W COUNTRY CLUB RD
Roswell, NM 88201
(575) 624-4663
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1578558219
601 W COUNTRY CLUB RD SUITE 201
Roswell, NM 88201
(575) 627-0535
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1740449396
200 W WILSHIRE, SUITE A LA CASA FAMILY HEALTH CENTER/LOS NINOS PEDIATRICS
Roswell, NM 88201
(575) 622-5956
✔ PECOS0.3 mi
Gastroenterology
NPI 1649777632
350 W COUNTRY CLUB RD STE 201
Roswell, NM 88201
(575) 624-4651
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1659368256
350 W COUNTRY CLUB RD STE 101
Roswell, NM 88201
(575) 622-1841
✔ PECOS✔ Accepts Medicare0.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1043419997
405 W COUNTRY CLUB RD
Roswell, NM 88201
(575) 622-8170
✔ Accepts Medicare0.6 mi
See all 68 clinicians

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

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 Roswell Clinic Corp's NPI number?

The NPI number for Roswell Clinic Corp is 1649267618. It was assigned to this organization in the NPPES registry on October 4, 2005.

Where is Roswell Clinic Corp located?

Roswell Clinic Corp is located at 350 W Country Club Rd Ste 201, Roswell, NM 88201. The listed phone number is (888) 801-5554.

What is Roswell Clinic Corp's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Roswell Clinic Corp enrolled in Medicare?

Yes. Roswell Clinic Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roswell Clinic Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 18 Medicare specialties reassign their Medicare billing to Roswell Clinic Corp. 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 General Surgery (16), Pediatric Medicine (13) and Nurse Practitioner (12). Of these, 12 practice at this address and 31 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Roswell Clinic Corp was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.