MS. KALA JESSY MATHEW AGACNP-BC
NPI 1295412146
Nurse Practitioner - Acute Care in Merrick, NY

Active since July 03, 2023PECOS EnrolledAccepts Medicare Assignment
1406 CECILY DR, MERRICK, NY 11566(516) 205-3458 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Kala Jessy Mathew Agacnp-bc NPPES

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

MS. KALA JESSY MATHEW AGACNP-BC (NPI 1295412146) is an individual acute care provider in Merrick, New York, licensed in New York (F432665-01) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1295412146
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. KALA JESSY MATHEWCredential: AGACNP-BC
Location Address1406 CECILY DRMerrick, NY 11566
Mailing Address450 Lakeville Road, Entrance BLake Success, NY 11042 · (516) 734-8900
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 3, 2023
Last NPPES UpdateJuly 5, 2023
NPPES CertifiedJuly 5, 2023
✔ NPI 1295412146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · F432665-01
1406 CECILY DR, Merrick, NY 11566

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

Ms. Kala Jessy Mathew Agacnp-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.

PECOS PAC ID8426499971
PECOS Enrollment IDI20240515000332
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 Kala 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
1703 MERRICK AVE
Merrick, NY 11566
  • Reassigned Medicare billing, New York enrollment
  • 944 clinicians in this Medicare group
Hematology & Oncology
450 LAKEVILLE RD
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New York enrollment
  • 198 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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
70 services59 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11566 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Kala Mathew's NPI number?

The NPI number for Kala Mathew is 1295412146. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is Kala Mathew located?

Kala Mathew practices at 1406 Cecily Dr, Merrick, NY 11566. The listed phone number is (516) 205-3458.

What is Kala Mathew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kala Mathew enrolled in Medicare?

Yes. Kala 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 Kala Mathew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kala Mathew reassigns Medicare benefits to 2 organizations: Chs Physician Partners, PC (Merrick, NY) and North Shore Health System Medical Faculty Group Practice Inc (New Hyde Park, NY). 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 Kala Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kala Mathew affiliated with any hospitals?

According to CMS data, Kala Mathew is affiliated with St Francis Hospital - The Heart Center.

When was this NPI record last updated?

The NPPES record for Kala Mathew was last updated on July 5, 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.