Ruben A. Supan, LLC
NPI 1053802892ActiveOrganization· Nurse Practitioner, Family· Roswell, NM
Nurse Practitioner, Family in Roswell, New Mexico, registered in NPPES in May 2018. The authorized official on file is Ruben Supan, NP, Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053802892 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 29, 2018 |
| Last updated in NPPES | Jul 6, 2021 |
| Certified by provider | Jul 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NM) |
|---|
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