GINA THRESIA MATHEW NP
NPI 1194419168
Nurse Practitioner - Psychiatric/Mental Health in Hinsdale, IL
About Gina Thresia Mathew Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GINA THRESIA MATHEW NP (NPI 1194419168) is an individual psychiatric/mental health provider in Hinsdale, Illinois, licensed in Illinois (209.027472) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
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
Gina Thresia Mathew Np 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
2Medicare enrollment records show Gina Mathew reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Naperville, IL 60564
- Reassigned Medicare billing, Illinois enrollment
- 475 clinicians in this Medicare group
Rockford, IL 61107
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Rockford Psychiatric Medical Services Sc
- 163 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60521 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HINSDALE, IL 60521
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 Gina Mathew's NPI number?
The NPI number for Gina Mathew is 1194419168. It was assigned to this individual provider in the NPPES registry on June 5, 2023.
Where is Gina Mathew located?
Gina Mathew practices at 901 N Elm St Ste 275, Hinsdale, IL 60521. The listed phone number is (630) 428-7890.
What is Gina Mathew's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Gina Mathew enrolled in Medicare?
Yes. Gina 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.
Which organizations bill Medicare for Gina Mathew's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gina Mathew reassigns Medicare benefits to 2 organizations: Edgewood Clinical Services, P.C. (Naperville, IL) and Rockford Psychiatric Medical Services, S.C. (Rockford, IL). 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 Gina Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gina Mathew accept?
Health plans from MercyCare, MercyCare Health Plans, Oscar Health and Quartz list Gina 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 Gina Mathew was last updated on September 20, 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.
# Gina Thresia Mathew, NP · NPI 1194419168
Psychiatric/Mental Health physician in Hinsdale, Illinois. Individual provider, active in the CMS NPPES registry since June 5, 2023.
## Identity
- **NPI:** 1194419168 (Entity type: Individual)
- **Enumerated:** June 5, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 209.027472 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 901 N ELM ST STE 275, Hinsdale, IL 60521-3632
- **Phone:** (630) 428-7890
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Edgewood Clinical Services, P.C. (NPI 1295914646, Naperville, IL); Rockford Psychiatric Medical Services, S.C. (NPI 1821391442, Rockford, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1194419168) · Data from the CMS NPPES public registry.