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

STATE OF NEW MEXICO
NPI 1922094770
Rehabilitation Hospital in Roswell, NM

Active since September 26, 2005
72 GAIL HARRIS AVE, ROSWELL, NM 88203(575) 347-3400(575) 347-5177 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Jun 18, 2024, Mar 28, 2017 and 2 more (5 updates tracked since 2016).

About State Of New Mexico NPPES

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

STATE OF NEW MEXICO (NPI 1922094770), doing business as New Mexico Rehabilitation Center, is a healthcare organization registered as a rehabilitation hospital in Roswell, New Mexico and active in the NPI registry since September 2005. The organization lists Janie Davies, Hospital Administrator, as its authorized official.

NPPES Registry Identity

NPI1922094770
Entity TypeOrganization
Primary Taxonomy283X00000X
Legal Business NameSTATE OF NEW MEXICO
Location Address72 GAIL HARRIS AVERoswell, NM 88203-8116
Mailing Address72 Gail Harris StRoswell, NM 88203-8116 · (575) 347-3400 · Fax (575) 291-2010
Fax(575) 347-5177
Organization SubpartYesParent: New Mexico Rehabilitation Center
Authorized OfficialJanie DaviesHospital Administrator · (575) 347-3400
Enumeration DateSeptember 26, 2005
Last NPPES UpdateOctober 15, 20265 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1922094770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRehabilitation HospitalHospitals
Taxonomy Code283X00000X
License✔ Licensed in NM · 6026
Definition
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 6026 (NM)
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X · License 6026 (NM)
Also ListedSpecial HospitalTaxonomy 284300000X · License 6026 (NM)
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
72 GAIL HARRIS AVE, Roswell, NM 88203

Other Names 1

Doing Business AsNew Mexico Rehabilitation Center

Other Identifiers 4

Medicaid00049528NM
Medicaid28858735NM
Medicaid00000273NM
MedicaidN0031622NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

State Of New Mexico 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 State Of New Mexico, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1124070255
612 W 8TH ST
Roswell, NM 88201
(575) 623-6161
✔ PECOS✔ Accepts Medicare6.3 mi
Nurse Practitioner
NPI 1023580073
115 E 23RD ST
Roswell, NM 88201
(575) 625-1292
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1619392883
405 W COUNTRY CLUB RD
Roswell, NM 88201
(505) 409-0831
✔ PECOS7.9 mi
Psychiatry
NPI 1578546438
405 W COUNTRY CLUB RD
Roswell, NM 88201
(575) 624-2095
✔ PECOS✔ Accepts Medicare8.0 mi
Internal Medicine
NPI 1427133073
1100 CENTRAL AVENUE SE
Albuquerque, NM 87106
(505) 724-6145
✔ PECOS✔ Accepts Medicare172 mi
Psychiatry
NPI 1891776274
3500 COMANCHE RD NE STE E6
Albuquerque, NM 87107
(505) 881-4500
✔ PECOS✔ Accepts Medicare173 mi
Physical Medicine and Rehabilitation
NPI 1568853760
4671 38TH ST S
Fargo, ND 58104
(877) 749-7428
✔ PECOS✔ Accepts Medicare1,015 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 State Of New Mexico's NPI number?

The NPI number for State Of New Mexico is 1922094770. It was assigned to this organization in the NPPES registry on September 26, 2005. The provider is doing business as New Mexico Rehabilitation Center.

Where is State Of New Mexico located?

State Of New Mexico is located at 72 Gail Harris Ave, Roswell, NM 88203. The listed phone number is (575) 347-3400.

What is State Of New Mexico's specialty?

The primary specialty registered for this NPI is Rehabilitation Hospital with taxonomy code 283X00000X.

Is State Of New Mexico enrolled in Medicare?

Yes. State Of New Mexico is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through State Of New Mexico?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to State Of New Mexico. 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 (3), Psychiatry (2) and Internal Medicine (1). Of these, 4 practice 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 State Of New Mexico was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.