SHIMI MANOJ MATHEW (APRN, PMHNP-BC) – Registered Nurse, NPI 1407175722
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for SHIMI MANOJ MATHEW (APRN, PMHNP-BC)
2013 Live Oak Blvd Ste B&c
Saint Cloud, FL 347718408
Phone: (407) 593-2388
Type: Location
6718 LAKE NONA BLVD
ORLANDO, FL 328277982
Phone: (833) 769-3524
Type: Mailing
46 OVERLOOK RD
WEST HAVERSTRAW, NY 109931012
Phone: (845) 839-2094
Type: Mailing
2013 LIVE OAK BLVD STE B&C
SAINT CLOUD, FL 347718408
Phone: (407) 593-2388
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $289.
Total Amount is formed as General ($289) + Research ($0) + Ownership ($0) = $289.
Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($255).
Total Amount
$289
General + Research + Ownership
Payments
5
Total payment records
General Amount
$289
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $255 |
| IDORSIA PHARMACEUTICALS US INC | $19 |
| ABBVIE INC. | $14 |
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: 2024-05-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240529003925 | I | Nurse Practitioner | FL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34771)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | FL | |
| - | GA | |
| - | GA | |
| Clinical Psychologist | GA | |
| Nurse Practitioner | GA | |
| Clinical Psychologist | GA | |
| Marriage And Family Therapist | GA | |
| P S Y C H I A T R Y | GA | |
| Clinical Psychologist | GA |
Reviews
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