Individual provider Active NPI

Roseline Cherilus, FNP-C

  • Family Nurse Practitioner
  • WSMR, NM
National Provider Identifier
1780107680
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-03364 Issued in NM
Practice address
1363 Aberdeen Ave
WSMR, NM 88002
Phone
(575) 674-3500
Fax
(915) 742-7459
NPI assigned
Jul 23, 2017
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse Practitioner 363LX0106X CNP-03364 NM
Family Nurse Practitioner 363LF0000X CNP-03364 NM Primary

Addresses

Primary practice location

1363 Aberdeen Ave
WSMR, NM 88002

Mailing address

1363 Aberdeen Ave
WSMR, NM 88002
Phone (575) 674-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171206001426 NM Practitioner - Nurse Practitioner 1658638275 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP-03364NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ben Archer Health Center CurrentSince Oct 28, 2017 Accepting new patients
Ben Archer Health Center CurrentSince Oct 28, 2017 Accepting new patients
Ben Archer Health Center Current Accepting new patients

Locations

1960 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-7662

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1780107680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 ABERDEEN AVE",
            "city": "WSMR",
            "state": "NM",
            "postal_code": "88002",
            "telephone_number": "575-674-3500",
            "fax_number": "915-742-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 ABERDEEN AVE",
            "city": "WSMR",
            "state": "NM",
            "postal_code": "88002",
            "telephone_number": "575-674-3500",
            "fax_number": "915-742-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERILUS",
        "first_name": "ROSELINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-23",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "NM",
            "license": "CNP-03364",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.