LIYA MATHEW (APRN) – Family Nurse Practitioner, NPI 1114513116

LIYA MATHEW (APRN) is a healthcare provider. based in Plantation, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11010051 (FL). The NPI Number for LIYA MATHEW (APRN) is 1114513116

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
LIYA MATHEW (APRN)
NPI
1114513116
Phone
(954) 236-0769
Address
10241 W Broward Blvd
Enumeration Date
15 December 2020
Last Update Date
6 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8882273312
Graduation Year
2020 (6 years ago)
PAC ID
8426440884
Group Practice PAC ID
1254768732
Professional Enrollment ID
I20221005002457
Address ID
OR970352622LA4823XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for LIYA MATHEW (APRN)

  • 10241 W Broward Blvd

    Plantation, FL 333242114

    Phone: (954) 236-0769

    Type: Location

  • PO BOX 3229

    PORTLAND, OR 972083229

    Phone: (888) 227-3312

    Type: Mailing

  • 1840 E PORTLAND RD

    NEWBERG, OR 971321847

    Phone: (888) 227-3312

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-10-05

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
I20221005002457INurse PractitionerORTBD

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
99203New patient office or other outpatient visit, 30-44 minutes6666$0
99213Established patient office or other outpatient visit, 20-29 minutes5552$0
81003Automated urinalysis test2525$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1615$0
View full utilization report →

Insurance plans in this area (ZIP 33324)

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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: 1254768732View full group profile

Reviews

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Frequently asked questions

What federal number belongs to LIYA MATHEW (APRN)?
The federal identifier for LIYA MATHEW (APRN) is NPI 1114513116.
Does this profile mean LIYA MATHEW (APRN) is currently active?
Yes — LIYA MATHEW (APRN) appears active in the national provider directory.
What does LIYA MATHEW (APRN) treat or focus on?
Patients typically see LIYA MATHEW (APRN) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place LIYA MATHEW (APRN)?
The snapshot lists Plantation, Florida for LIYA MATHEW (APRN); download NPPES for the complete set.
Is LIYA MATHEW (APRN) a real provider?
This page reflects official NPPES data for NPI 1114513116. Always confirm identity and privileges with the practice and licensing boards.

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