Kenneth Barncastle, APRN-CNP
Individual provider Active NPI Nurse Practitioner · Roswell, NM
NPI 1629862289 · NPPES record last updated Apr 8, 2025
Key facts
- NPI
- 1629862289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 58900 (NM)
- Practice address
- 13 E Sky Loop
Roswell, NM 88201-8336 - Phone
- (505) 400-4143
- NPI assigned
- Apr 8, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Las Cruces HB Medical Services LLC
Practice addresses (Care Compare)
405 W Country Club Rd
Roswell, NM 88201-5209
Phone (575) 622-8170
Hospital & facility affiliations
- Eastern New Mexico Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250520001400 | NM | Practitioner - Nurse Practitioner | 9234657578 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58900 | NM | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Cruces HB Medical Services LLC | Nurse Practitioner | Current |
Accepting new patients |
Locations
4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800
405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 58900 | NM | |
| Nurse Practitioner | 363L00000X | 58900 | NM | Yes |
| Adult Health Nurse Practitioner | 363LA2200X | 58900 | NM | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 58900 | NM |
Addresses
Primary practice location
13 E Sky Loop
Roswell, NM 88201-8336
Mailing address
13 E Sky Loop
Roswell, NM 88201-8336
Phone (505) 400-4143
Other providers in Roswell, NM
- Sharon Banaga-Pasiona
- Dana Marie Banks
- Reina Banks
- Demi Bannister
- James V Barncastle
- Randy A Barone
- Kasandra Barraza
- Makayla Barrera
- Abril Michelle Barrientos Carrillo
- Isabel Barrientos
All providers in Roswell, NM · Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.