MR. SAM MATHEW ARNP, PMHNP
NPI 1467156992
Nurse Practitioner - Psychiatric/Mental Health in Bothell, WA

Active since March 28, 2023Opted out of Medicare · through Jun 12, 2027
10634 E RIVERSIDE DR STE 130, BOTHELL, WA 98011(425) 677-4613 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2026, Mar 28, 2023 (2 updates tracked since 2023).

About Mr. Sam Mathew Arnp, Pmhnp NPPES

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

MR. SAM MATHEW ARNP, PMHNP (NPI 1467156992) is an individual psychiatric/mental health provider in Bothell, Washington, licensed in Washington (AP61421720) and active in the NPI registry since March 2023. He has opted out of Medicare through June 12, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1467156992
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. SAM MATHEWCredential: ARNP, PMHNP
Location Address10634 E RIVERSIDE DR STE 130Bothell, WA 98011-3758
Mailing Address3015 182nd Pl SeBothell, WA 98012-6084
Sole ProprietorYes
Enumeration DateMarch 28, 2023
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
NPI 1467156992 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 WA · AP61421720
10634 E RIVERSIDE DR STE 130, Bothell, WA 98011

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Sam Mathew Arnp, Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 12, 2023 through June 12, 2027.

Opt-Out Effective DateJune 12, 2023
Opt-Out In Effect ThroughJune 12, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98011 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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 12

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

Psychiatry & Neurology (Psychiatry)
10634 E RIVERSIDE DR STE 130
BOTHELL, WA 98011
Counselor (Mental Health)
10634 E RIVERSIDE DR STE 130
BOTHELL, WA 98011
Clinic/Center (Mental Health (Including Community Mental Health Center))
10634 E RIVERSIDE DR STE 130
BOTHELL, WA 98011
Counselor (Mental Health)
10634 E RIVERSIDE DR STE 130
BOTHELL, WA 98011
Social Worker (Clinical)
10634 E RIVERSIDE DR STE 130
BOTHELL, WA 98011
Counselor
10634 E RIVERSIDE DR STE 130
BOTHELL, WA 98011
Nurse Practitioner (Psychiatric/Mental Health)
10634 E RIVERSIDE DR STE 130
BOTHELL, WA 98011
Counselor (Mental Health)
10634 E RIVERSIDE DR STE 130
BOTHELL, WA 98011

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 Sam Mathew's NPI number?

The NPI number for Sam Mathew is 1467156992. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Sam Mathew located?

Sam Mathew practices at 10634 E Riverside Dr Ste 130, Bothell, WA 98011. The listed phone number is (425) 677-4613.

What is Sam Mathew's specialty?

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

Is Sam Mathew enrolled in Medicare?

No. Sam Mathew has opted out of Medicare through June 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Sam Mathew accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Sam 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 Sam Mathew was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.