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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: October 18, 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 Other (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
Phone(407) 554-5804
Fax(407) 214-3171
Sole ProprietorNo
Medical School CMSOtherGraduated 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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

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

Shaan & Company, LLC
Same address
Psychiatric/Mental Health
231 W BAY AVE
Longwood, FL 32750
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1477254761 (074) 554-5804
Harmony United Florida, LLC
19 mi
Psychiatry
15544 W COLONIAL DR
Winter Garden, FL 34787
  • Reassigned Medicare billing, Florida enrollment
  • 136 clinicians in this Medicare group
NPI 1063842870 (352) 431-3940

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32750 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 6

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

AMY JEAN MORAN APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
231 W BAY AVE
LONGWOOD, FL 32750
Seminole County (407) 554-5804
SHAHENAZ JIVANI
Nurse Practitioner (Psychiatric/Mental Health)
231 W BAY AVE
LONGWOOD, FL 32750
Seminole County (407) 731-0252
SHAAN& COMPANY, LLC
Nurse Practitioner (Psychiatric/Mental Health)
231 W BAY AVE
LONGWOOD, FL 32750
Seminole County (074) 554-5804
RACHELLE BURQUE LMHC-QS
Counselor (Mental Health)
231 W BAY AVE
LONGWOOD, FL 32750
Seminole County (407) 801-4846
ILLUMINATING PATHWAYS LLC
Counselor (Mental Health)
231 W BAY AVE
LONGWOOD, FL 32750
Seminole County (407) 801-4846
HEATHER MARIE ESTEBAN
Counselor (Mental Health)
231 W BAY AVE
LONGWOOD, FL 32750
Seminole County (321) 872-8032

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 Kshema Puthenkavil Mathew's NPI number?

The NPI number for Kshema Puthenkavil Mathew is 1154153195. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Kshema Puthenkavil Mathew located?

Kshema Puthenkavil Mathew practices at 231 W Bay Ave, Longwood, FL 32750. The listed phone number is (407) 554-5804.

What is Kshema Puthenkavil Mathew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kshema Puthenkavil Mathew enrolled in Medicare?

Yes. Kshema Puthenkavil Mathew is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kshema Puthenkavil Mathew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kshema Puthenkavil Mathew reassigns Medicare benefits to 2 organizations: Shaan & Company, LLC (Longwood, FL) and Harmony United Florida, LLC (Winter Garden, FL). 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 Kshema Puthenkavil Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kshema Puthenkavil Mathew accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 4 other insurers list Kshema Puthenkavil Mathew 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.

When was this NPI record last updated?

The NPPES record for Kshema Puthenkavil Mathew was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.