JOMY MATHEWS FNP-BC
NPI 1073063004
Nurse Practitioner - Family in Troy, MI
About Jomy Mathews Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOMY MATHEWS FNP-BC (NPI 1073063004) is an individual family provider in Troy, Michigan, licensed in Michigan (4704250457) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health West Bloomfield Hospital, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jomy Mathews Fnp-bc 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jomy Mathews reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48202
- Reassigned Medicare billing, Michigan enrollment
- 577 clinicians in this Medicare group
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- 12 clinicians in this Medicare group
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- 13 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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Henry Ford Health West Bloomfield Hospital
Acute Care Hospitals · West Bloomfield, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jomy Mathews's NPI number?
The NPI number for Jomy Mathews is 1073063004. It was assigned to this individual provider in the NPPES registry on October 13, 2016.
Where is Jomy Mathews located?
Jomy Mathews practices at 4079 Shadrock Dr, Troy, MI 48085. The listed phone number is (708) 228-1409.
What is Jomy Mathews's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jomy Mathews enrolled in Medicare?
Yes. Jomy Mathews 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.
Which organizations bill Medicare for Jomy Mathews's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jomy Mathews reassigns Medicare benefits to 3 organizations: Henry Ford Health System (Detroit, MI), Integrated Visiting Physician Solutions PC (Southfield, MI) and Traveling Physician Services PC (Southfield, MI). 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 Jomy Mathews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jomy Mathews accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Jomy Mathews as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jomy Mathews affiliated with any hospitals?
According to CMS data, Jomy Mathews is affiliated with Henry Ford Health West Bloomfield Hospital.
When was this NPI record last updated?
The NPPES record for Jomy Mathews was last updated on October 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Jomy Mathews, FNP-BC · NPI 1073063004
Family physician in Troy, Michigan. Individual provider, active in the CMS NPPES registry since October 13, 2016.
## Identity
- **NPI:** 1073063004 (Entity type: Individual)
- **Enumerated:** October 13, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704250457 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 4079 SHADROCK DR, Troy, MI 48085-5735
- **Phone:** (708) 228-1409
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Henry Ford Health System (NPI 1104900455, Detroit, MI); Integrated Visiting Physician Solutions PC (NPI 1891109641, Southfield, MI); Traveling Physician Services PC (NPI 1366337826, Southfield, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 13, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1073063004) · Data from the CMS NPPES public registry.