KSHEMA PUTHENKAVIL MATHEW
NPI 1154153195
Nurse Practitioner - Psychiatric/Mental Health in Longwood, FL

Active since August 19, 2024PECOS Enrolled
231 W BAY AVE, LONGWOOD, FL 32750(407) 554-5804(407) 214-3171 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kshema Puthenkavil Mathew NPPES

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

KSHEMA PUTHENKAVIL MATHEW (NPI 1154153195) is an individual psychiatric/mental health provider in Longwood, Florida, licensed in Florida (11034688) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Univ Of Central Florida, College Of Medicine (2024).

NPPES Registry Identity

NPI1154153195
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKSHEMA PUTHENKAVIL MATHEW
Location Address231 W BAY AVELongwood, FL 32750-4125
Mailing Address8900 Vickroy TerOviedo, FL 32765-5230 · (407) 924-9372
Fax(407) 214-3171
Sole ProprietorNo
Medical School CMSUniv Of Central Florida, College Of MedicineGraduated 2024
Enumeration DateAugust 19, 2024
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
NPI 1154153195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in FL · 11034688
231 W BAY AVE, Longwood, FL 32750

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID244745925
PECOS Enrollment IDI20250711003178
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.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 32750 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.62
  • Minimum New Patient Price $56
  • Maximum New Patient Price $171.84
  • Average New Patient Copayment $21.9
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.16
  • Minimum Established Patient Price $17.57
  • Maximum Established Patient Price $139.16
  • Average Established Patient Copayment $24.79
  • Minimum Established Patient Copayment $4.39
  • Maximum Established Patient Copayment $34.79

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
231 W BAY AVE
LONGWOOD, FL 32750
Nurse Practitioner (Psychiatric/Mental Health)
231 W BAY AVE
LONGWOOD, FL 32750
Counselor (Mental Health)
231 W BAY AVE
LONGWOOD, FL 32750
Counselor (Mental Health)
231 W BAY AVE
LONGWOOD, FL 32750
Counselor (Mental Health)
231 W BAY AVE
LONGWOOD, FL 32750

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154153195, enumerated as an "individual" on August 19, 2024.

The provider is located at 231 W BAY AVE LONGWOOD, FL 32750 and the phone number is (407) 554-5804.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Ambetter Health, Ambetter of Alabama, Oscar Health. Please consult your insurance carrier or call the provider to verify.