Roswell Clinic Corp
NPI 1649267618ActiveOrganization· Family Medicine· Roswell, NM
Family Medicine in Roswell, New Mexico, registered in NPPES in October 2005, part of Roswell Clinic Corp. The authorized official on file is Jennifer L. Jackson, Senior Director, Enrollment. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1649267618 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Roswell Clinic Corp |
| NPI issued | Oct 4, 2005 |
| Last updated in NPPES | Jan 25, 2022 |
| Certified by provider | Jan 25, 2022 |
Specialties and licenses
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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