MRS. SHEILA SUSAN MATHEW FNP
NPI 1063784908
Nurse Practitioner - Family in Middletown, NY

Active since February 08, 2012PECOS EnrolledAccepts Medicare Assignment
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941(845) 703-6999(845) 703-6297 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Oct 9, 2020, May 2, 2018 and 1 more (4 updates tracked since 2017).

About Mrs. Sheila Susan Mathew Fnp NPPES

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

MRS. SHEILA SUSAN MATHEW FNP (NPI 1063784908) is an individual family provider in Middletown, New York, licensed in New York (F336989-1) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with Nyack Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1063784908
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHEILA SUSAN MATHEWCredential: FNP
Location Address155 CRYSTAL RUN RDMiddletown, NY 10941-4028
Mailing Address155 Crystal Run RdMiddletown, NY 10941-4028 · (845) 703-6999 · Fax (845) 703-6297
Fax(845) 703-6297
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 8, 2012
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedOctober 9, 2020
NPI 1063784908 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 · F336989-1
155 CRYSTAL RUN RD, Middletown, NY 10941

Other Identifiers 1

Medicaid04494919NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Sheila Susan Mathew Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870880115
PECOS Enrollment IDI20160929001908
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.

Areas of Expertise CMS Part B claims 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
592 services235 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
192 services170 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
126 services113 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
41 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
23 services16 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyack Hospital

Acute Care Hospitals · Nyack, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330104
Location160 North Midland AvenueNyack, NY 10960 · Rockland County
Birthing friendly

Good Samaritan Hospital Of Suffern

Acute Care Hospitals · Suffern, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330158
Location255 Lafayette AvenueSuffern, NY 10901 · Rockland County
Emergency services Birthing friendly

St Anthony Community Hospital

Acute Care Hospitals · Warwick, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330205
Location15 Maple Avenue -19Warwick, NY 10990 · Orange County
Birthing friendly

St John's Riverside Hospital

Acute Care Hospitals · Yonkers, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330208
Location976 North BroadwayYonkers, NY 10701 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10941 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier12 claims12 services$36.71 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers24 claims24 services$13.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers52 claims52 services$59.30 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$35.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Nephrology)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Nurse Practitioner (Acute Care)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Internal Medicine (Pulmonary Disease)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Nurse Practitioner (Family)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Internal Medicine (Endocrinology, Diabetes & Metabolism)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Internal Medicine (Infectious Disease)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Psychiatry & Neurology (Psychiatry)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Radiology (Diagnostic Radiology)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941

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 Sheila Mathew's NPI number?

The NPI number for Sheila Mathew is 1063784908. It was assigned to this individual provider in the NPPES registry on February 8, 2012.

Where is Sheila Mathew located?

Sheila Mathew practices at 155 Crystal Run Rd, Middletown, NY 10941. The listed phone number is (845) 703-6999.

What is Sheila Mathew's specialty?

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

Is Sheila Mathew enrolled in Medicare?

Yes. Sheila Mathew is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sheila Mathew affiliated with any hospitals?

According to CMS data, Sheila Mathew is affiliated with Nyack Hospital, Good Samaritan Hospital Of Suffern, St Anthony Community Hospital and St John's Riverside Hospital.

When was this NPI record last updated?

The NPPES record for Sheila Mathew was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.