MS. KRISTINA LEE MATTHEWS PA-C
NPI 1992426514
Physician Assistant in Tinton Falls, NJ
NPI Status: Active since September 12, 2022
Contact Information
55 N GILBERT ST
TINTON FALLS, NJ
ZIP 07701
Phone: (732) 447-2545
- Individual
- Female
- Physician Assistant
- Opted-Out Medicare
About KRISTINA MATTHEWS
This page provides the complete NPI Profile along with additional information for Kristina Matthews, a primary care provider established in Tinton Falls, New Jersey with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1992426514 assigned on September 2022. The practitioner's primary taxonomy code is 363A00000X with license number 25MP00717200 (NJ). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1992426514
- Provider Name
- MS. KRISTINA LEE MATTHEWS PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 55 N GILBERT ST TINTON FALLS, NJ 07701
- Location Phone
- (732) 447-2545
- Mailing Address
- 125 COLONIAL AVE HADDONFIELD, NJ 08033
- Mailing Phone
- (908) 770-7171
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-12-2022
- Last Update Date
- 01-06-2025
- Code Navigator
A primary care provider (PCP) like Kristina Matthews sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kristina Matthews opted out of Medicare effective on 03-26-2024 until 03-26-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 25MP00717200
- License State
- NJ
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 03-26-2024
Opt-Out End Date: 03-26-2026
Eligible to Order and Refer? No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 40-54 minutes
Psychiatric diagnostic evaluation with medical services
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 15 times for 12 patientsA psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
This service was performed 11 times for 11 patientsReviews for MS. KRISTINA LEE MATTHEWS PA-C
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1992426514, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
TINTON FALLS, NJ 07701
TINTON FALLS, NJ 07701
TINTON FALLS, NJ 07701
TINTON FALLS, NJ 07701
TINTON FALLS, NJ 07701
TINTON FALLS, NJ 07701
TINTON FALLS, NJ 07701
TINTON FALLS, NJ 07701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992426514, enumerated as an "individual" on September 12, 2022.
The provider is located at 55 N GILBERT ST TINTON FALLS, NJ 07701 and the phone number is (732) 447-2545.
Physician Assistant with taxonomy code 363A00000X.
