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DR. NITHYA MATHAI DNP,FNP-C
NPI 1710462791
Nurse Practitioner in Boynton Beach, FL

Active since September 26, 2018PECOS EnrolledAccepts Medicare Assignment
8756 BOYNTON BEACH BLVD STE 2500, BOYNTON BEACH, FL 33472(561) 499-7551(561) 499-7582 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 20, 2025, Dec 14, 2021, Nov 5, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Nithya Mathai Dnp,fnp-c NPPES

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

DR. NITHYA MATHAI DNP,FNP-C (NPI 1710462791) is an individual nurse practitioner in Boynton Beach, Florida, licensed in Florida (APRN9404014) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Bethesda Hospital Inc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710462791
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDR. NITHYA MATHAICredential: DNP,FNP-C
Location Address8756 BOYNTON BEACH BLVD STE 2500Boynton Beach, FL 33472-4470
Mailing Address4725 N Federal HwyFort Lauderdale, FL 33308-4668 · (954) 771-8000 · Fax (954) 414-9751
Phone(561) 499-7551
Fax(561) 499-7582
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 26, 2018
Last NPPES UpdateFebruary 20, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
✔ NPI 1710462791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN9404014
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8756 BOYNTON BEACH BLVD STE 2500, Boynton Beach, FL 33472
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nithya Mathai Dnp,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 ID2163756404
PECOS Enrollment IDI20190620001834
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.

Areas of Expertise CMS Part B claims 2

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
27 services27 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Bethesda Hospital Inc

Acute Care Hospitals · Boynton Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100002
Location2815 S Seacrest BlvdBoynton Beach, FL 33435 · Palm Beach County
Emergency services Birthing friendly

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

St Mary's Medical Center

Acute Care Hospitals · West Palm Beach, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100288
Location901 45th StWest Palm Beach, FL 33407 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33472 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
3 suppliers25 claims713 services$2.69 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
3 suppliers25 claims12,650 services$0.25 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers72 claims72 services$912.31 avg. paid by Medicare
Cough stimulating device, alternating positive and negative airway pressure E0482
DME-Other DME · category DE000N
2 suppliers72 claims72 services$328.14 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
2 suppliers34 claims34 services$34.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

SHELLYANN TIMMONS ARNP-BC
Nurse Practitioner
8756 BOYNTON BEACH BLVD STE 2500
BOYNTON BEACH, FL 33472
Palm Beach County (561) 737-0030
DR. DENNYS REYES CANDEDO M.D.
Psychiatry & Neurology (Neurology)
8756 BOYNTON BEACH BLVD STE 2500
BOYNTON BEACH, FL 33472
Palm Beach County (561) 499-7551

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 Nithya Mathai's NPI number?

The NPI number for Nithya Mathai is 1710462791. It was assigned to this individual provider in the NPPES registry on September 26, 2018.

Where is Nithya Mathai located?

Nithya Mathai practices at 8756 Boynton Beach Blvd Ste 2500, Boynton Beach, FL 33472. The listed phone number is (561) 499-7551.

What is Nithya Mathai's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nithya Mathai enrolled in Medicare?

Yes. Nithya Mathai 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.

What insurance does Nithya Mathai accept?

Health plans from AmeriHealth Caritas Next, AvMed, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Nithya Mathai 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.

Is Nithya Mathai affiliated with any hospitals?

According to CMS data, Nithya Mathai is affiliated with Bethesda Hospital Inc, Boca Raton Regional Hospital and St Mary's Medical Center.

When was this NPI record last updated?

The NPPES record for Nithya Mathai was last updated on February 20, 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.