MICHELLE LINDSAY MATHEW
NPI 1053943902
Nurse Practitioner - Family in Albany, NY

Active since February 09, 2020PECOS Enrolled

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 25, 2023, Mar 6, 2021, Mar 2, 2020 and 1 more (4 updates tracked since 2020).

About Michelle Lindsay Mathew NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE LINDSAY MATHEW (NPI 1053943902) is an individual family provider in Albany, New York, licensed in New York (345102) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053943902
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE LINDSAY MATHEW
Location Address920 LARK DRAlbany, NY 12207-1300
Mailing Address920 Lark DrAlbany, NY 12207-1300
Sole ProprietorNo
Enumeration DateFebruary 9, 2020
Last NPPES UpdateJanuary 25, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
✔ NPI 1053943902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 345102
920 LARK DR, Albany, NY 12207

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Lindsay Mathew is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Michelle Mathew reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
20 GRAND ST, 3RD FLOOR
Warwick, NY 10990
  • Reassigned Medicare billing, New York enrollment
  • 176 clinicians in this Medicare group
Anesthesiology
100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 1,663 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
107 services15 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
85 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Advanced Practice Midwife
920 LARK DR, WHITNEY YOUNG HEALTH CENTER, INC
ALBANY, NY 12207
Pediatrics
920 LARK DR
ALBANY, NY 12207
Social Worker (Clinical)
920 LARK DR
ALBANY, NY 12207
Nurse Practitioner (Psychiatric/Mental Health)
920 LARK DR
ALBANY, NY 12207
Nurse Practitioner (Women's Health)
920 LARK DR
ALBANY, NY 12207
Social Worker (Clinical)
920 LARK DR
ALBANY, NY 12207
Physician Assistant
920 LARK DR
ALBANY, NY 12207
Counselor (Mental Health)
920 LARK DR
ALBANY, NY 12207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Mathew's NPI number?

The NPI number for Michelle Mathew is 1053943902. It was assigned to this individual provider in the NPPES registry on February 9, 2020.

Where is Michelle Mathew located?

Michelle Mathew practices at 920 Lark Dr, Albany, NY 12207. The listed phone number is (518) 465-4771.

What is Michelle Mathew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Mathew enrolled in Medicare?

Yes. Michelle Mathew is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michelle Mathew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Mathew reassigns Medicare benefits to 2 organizations: Bon Secours Charity Health System Medical Group, P.C. (Warwick, NY) and Westchester Medical Center Advanced Physician Services PC (Valhalla, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Mathew was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.