Ruben A. Supan, LLC
NPI 1053802892 · Family Nurse Practitioner · Roswell, NM
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ruben A. Supan, LLC is a Family Nurse Practitioner organization in Roswell, NM (NPI 1053802892).
Provider details
- NPI number
- 1053802892
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ruben Supan, Nurse Practitioner(505) 409-0831
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-05-29
- Last updated
- 2021-07-06
- Certified
- 2021-07-06
Frequently asked questions
- What is Ruben A. Supan, LLC's NPI number?
- Ruben A. Supan, LLC's National Provider Identifier (NPI) is 1053802892, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ruben A. Supan, LLC?
- Ruben A. Supan, LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ruben A. Supan, LLC located?
- Ruben A. Supan, LLC's practice location on file with NPPES is 405 W Country Club Rd, Roswell, NM 88201-5209.
- What is Ruben A. Supan, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ruben A. Supan, LLC is (575) 363-3134.
- Does Ruben A. Supan, LLC accept Medicare?
- Ruben A. Supan, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ruben A. Supan, LLC?
- The authorized official listed on Ruben A. Supan, LLC's NPPES record is Ruben Supan, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ruben A. Supan, LLC's NPI active?
- Yes — Ruben A. Supan, LLC's NPI (1053802892) is active in the NPPES registry as of the last update on 2021-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.