BLESSY MATHEW FNP-C
NPI 1194558007
Nurse Practitioner - Family in Dallas, TX

Active since August 26, 2024PECOS EnrolledAccepts Medicare Assignment
3310 LIVE OAK ST STE 300, DALLAS, TX 75204(972) 942-3410 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blessy Mathew Fnp-c NPPES

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

BLESSY MATHEW FNP-C (NPI 1194558007) is an individual family provider in Dallas, Texas, licensed in Texas (1172567) 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

NPI1194558007
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBLESSY MATHEWCredential: FNP-C
Location Address3310 LIVE OAK ST STE 300Dallas, TX 75204-6149
Mailing Address3310 Live Oak St Ste 300Dallas, TX 75204-6149 · (972) 942-3410
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 26, 2024
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1194558007 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 TX · 1172567
3310 LIVE OAK ST STE 300, Dallas, TX 75204

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

Blessy Mathew Fnp-c 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 ID9931625647
PECOS Enrollment IDI20250425000488
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 Blessy Mathew reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
5939 HARRY HINES BLVD, SUITE #310 POB II
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
Family Medicine
3708 JEFFERSON ST, SUITE A
Austin, TX 78731
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Wellmed Medical Group PA
  • 762 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 75204 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 5

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

Internal Medicine
3310 LIVE OAK ST STE 300
DALLAS, TX 75204
Nurse Practitioner (Family)
3310 LIVE OAK ST STE 300
DALLAS, TX 75204
Family Medicine
3310 LIVE OAK ST STE 300
DALLAS, TX 75204
Nurse Practitioner (Family)
3310 LIVE OAK ST STE 300
DALLAS, TX 75204
Family Medicine
3310 LIVE OAK ST STE 300
DALLAS, TX 75204

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 Blessy Mathew's NPI number?

The NPI number for Blessy Mathew is 1194558007. It was assigned to this individual provider in the NPPES registry on August 26, 2024.

Where is Blessy Mathew located?

Blessy Mathew practices at 3310 Live Oak St Ste 300, Dallas, TX 75204. The listed phone number is (972) 942-3410.

What is Blessy Mathew's specialty?

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

Is Blessy Mathew enrolled in Medicare?

Yes. Blessy 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 Blessy Mathew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blessy Mathew reassigns Medicare benefits to 2 organizations: Gary E Goff MD PA (Dallas, TX) and Wellmed Medical Group, P.A. (Austin, TX). 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 Blessy Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Blessy Mathew was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.