JEENA MATHEW – Family Nurse Practitioner, NPI 1043670771

JEENA MATHEW is a healthcare provider. based in Bartow, Florida. specializing in NURSE PRACTITIONER. They hold a License No. ARNP 9173328 (FL). The NPI Number for JEENA MATHEW is 1043670771

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JEENA MATHEW
NPI
1043670771
Phone
(863) 512-1055
Address
1170 NEVERMORE CIR
Enumeration Date
23 February 2016
Last Update Date
23 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8639655400
Graduation Year
2015 (11 years ago)
PAC ID
6305130170
Group Practice PAC ID
3072424282
Professional Enrollment ID
I20160802003120
Address ID
FL338234644AU1805XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for JEENA MATHEW

  • 1170, Nevermore Circle, Bartow, Polk County, Florida, 33830, United States

    BARTOW, FL 338307404

    Phone: (863) 512-1055

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $377.

Total Amount is formed as General ($377) + Research ($0) + Ownership ($0) = $377.

Last reported payment date: 2024-06-06 • Largest payer in this snapshot: Gilead Sciences, Inc. ($297).

Total Amount

$377

General + Research + Ownership

Payments

7

Total payment records

General Amount

$377

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160802003120INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3528$0
99214Established patient office or other outpatient visit, 30-39 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 33830)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072424282View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for JEENA MATHEW?
JEENA MATHEW — NPI 1043670771 — is the standard way to identify this listing.
Does CMS list JEENA MATHEW as active?
Yes — JEENA MATHEW is active in the NPI listing used on this page.
What is JEENA MATHEW's specialty?
The listing groups JEENA MATHEW with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for JEENA MATHEW?
JEENA MATHEW's geographic hint is Bartow, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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