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MICHAEL HENRY MATHIES MSN, APN, ACNPC-AG
NPI 1659225415
Nurse Practitioner - Acute Care in Neptune City, NJ

Active since February 26, 2026PECOS Enrolled
1945 NJ-33, NEPTUNE CITY, NJ 07753(732) 776-2330(732) 776-2338 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2026, Mar 30, 2026 (2 updates tracked since 2026).

About Michael Henry Mathies Msn, Apn, Acnpc-ag NPPES

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

MICHAEL HENRY MATHIES MSN, APN, ACNPC-AG (NPI 1659225415) is an individual acute care provider in Neptune City, New Jersey, licensed in New Jersey (26NJ15552600) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1659225415
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMICHAEL HENRY MATHIESCredential: MSN, APN, ACNPC-AG
Location Address1945 NJ-33Neptune City, NJ 07753
Mailing Address331 Newman Springs Road, Bldg. 2, Suite 220Red Bank, NJ 07701 · (732) 807-0877 · Fax (201) 751-1680
Phone(732) 776-2330
Fax(732) 776-2338
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 26, 2026
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1659225415 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 NJ · 26NJ15552600
1945 NJ-33, Neptune City, NJ 07753
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Henry Mathies Msn, Apn, Acnpc-ag is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860962107
PECOS Enrollment IDI20260527003877
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 Reassignment

Medicare enrollment records show Michael Mathies reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Specialty Care PC
9.1 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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 07753 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 20

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

KIM GORDON RN, CRNA
Nurse Anesthetist, Certified Registered
1945 NJ-33
NEPTUNE CITY, NJ 07753
Monmouth County (732) 775-5500
LISA MEDORA ATTANASIO ACNPC-AG
Nurse Practitioner (Acute Care)
1945 NJ-33
NEPTUNE CITY, NJ 07753
Monmouth County (973) 508-2697
PAUL CHARLES KUMPF D.O.
Student in an Organized Health Care Education/Training Program
1945 NJ-33
NEPTUNE TOWNSHIP, NJ 07753
Monmouth County (848) 332-2659
MRS. NICOLE ELIZABETH SMITH APN
Nurse Practitioner (Family)
1945 NJ-33, JSUMC-INPATIENT WOUND CARE
NEPTUNE, NJ 07753
Monmouth County (732) 776-4680
DR. OMAR MASARWEH MD
Internal Medicine
1945 NJ-33
NEPTUNE, NJ 07753
Monmouth County (732) 755-5500
VRUSHAK P PATEL MD
Internal Medicine
1945 NJ-33
NEPTUNE, NJ 07753
Monmouth County (732) 775-5500
MR. ROYCE SHOU
Internal Medicine
1945 NJ-33
NEPTUNE CITY, NJ 07753
Monmouth County (732) 776-2963
ZULFIYA TASHPULATOVA DO
Student in an Organized Health Care Education/Training Program
1945 NJ-33
NEPTUNE, NJ 07753
Monmouth County (732) 897-2455

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 Michael Mathies's NPI number?

The NPI number for Michael Mathies is 1659225415. It was assigned to this individual provider in the NPPES registry on February 26, 2026.

Where is Michael Mathies located?

Michael Mathies practices at 1945 Nj-33, Neptune City, NJ 07753. The listed phone number is (732) 776-2330.

What is Michael Mathies's specialty?

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

Is Michael Mathies enrolled in Medicare?

Yes. Michael Mathies is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Mathies's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mathies reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The 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 Michael Mathies's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Mathies accept?

Health plans from Oscar Health list Michael Mathies 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 Michael Mathies was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.