SIB WELLNESS SOLUTIONS LLC
NPI 1861293516
Nurse Practitioner - Psychiatric/Mental Health in Roswell, NM

Active since March 20, 2025
2105 N WASHINGTON AVE, ROSWELL, NM 88201(248) 707-9554 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sib Wellness Solutions Llc NPPES

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

SIB WELLNESS SOLUTIONS LLC (NPI 1861293516) is a healthcare organization registered as a psychiatric/mental health in Roswell, New Mexico and active in the NPI registry since March 2025. The organization lists Samuel Basiaka Itie, Ceo/provider, as its authorized official.

NPPES Registry Identity

NPI1861293516
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSIB WELLNESS SOLUTIONS LLC
Location Address2105 N WASHINGTON AVERoswell, NM 88201-3369
Mailing Address2105 N Washington AveRoswell, NM 88201-3369 · (248) 707-9554
Organization SubpartNo
Authorized OfficialSamuel Basiaka ItieCeo/provider · (248) 707-9554
Enumeration DateMarch 20, 2025
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1861293516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2105 N WASHINGTON AVE, Roswell, NM 88201

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Sib Wellness Solutions Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sib Wellness Solutions LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1952794687
712 W HOBBS ST
Roswell, NM 88203
(575) 623-5263
✔ PECOS✔ Accepts Medicare3.3 mi

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 Sib Wellness Solutions LLC's NPI number?

The NPI number for Sib Wellness Solutions LLC is 1861293516. It was assigned to this organization in the NPPES registry on March 20, 2025.

Where is Sib Wellness Solutions LLC located?

Sib Wellness Solutions LLC is located at 2105 N Washington Ave, Roswell, NM 88201. The listed phone number is (248) 707-9554.

What is Sib Wellness Solutions LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sib Wellness Solutions LLC enrolled in Medicare?

Yes. Sib Wellness Solutions LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sib Wellness Solutions LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Sib Wellness Solutions 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sib Wellness Solutions LLC was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.