BONY MATHEW (FNP-BC) – Nurse Practitioner, NPI 1174282099

BONY MATHEW (FNP-BC) is a healthcare provider. based in Wheeling, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 209.023999 (IL). The NPI Number for BONY MATHEW (FNP-BC) is 1174282099

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
BONY MATHEW (FNP-BC)
NPI
1174282099
Phone
(224) 795-1792
Address
360 WILLE AVE
Enumeration Date
8 December 2021
Last Update Date
31 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7608644163
Graduation Year
2021 (5 years ago)
PAC ID
1658729231
Group Practice PAC ID
8426189507
Professional Enrollment ID
I20231120002235
Address ID
CA922624880PA1330XDRXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for BONY MATHEW (FNP-BC)

  • 360 WILLE AVE

    WHEELING, IL 600904930

    Phone: (224) 795-1792

    Type: Mailing

  • 620 S THORNHILL RD APT 1

    PALM SPRINGS, CA 922642725

    Phone:

    Type: Mailing

  • 558 S PASEO DOROTEA STE 6

    PALM SPRINGS, CA 922641429

    Phone: (760) 423-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $803.

Total Amount is formed as General ($803) + Research ($0) + Ownership ($0) = $803.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GENZYME CORPORATION ($301).

Total Amount

$803

General + Research + Ownership

Payments

16

Total payment records

General Amount

$803

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2023-11-20

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
I20231120002235INurse PractitionerCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60090)

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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: 8426189507View full group profile
NameSpecialtyState
P A T H O L O G YMA
Nurse PractitionerCA
G A S T R O E N T E R O L O G YCA
Nurse PractitionerCA
Physician AssistantCA
G A S T R O E N T E R O L O G YNM
Nurse PractitionerCA
Nurse PractitionerIN
G A S T R O E N T E R O L O G YCA

Reviews

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Frequently asked questions

What identifier follows BONY MATHEW (FNP-BC) across health systems?
The NPI 1174282099 uniquely identifies BONY MATHEW (FNP-BC) in U.S. healthcare data.
Is BONY MATHEW (FNP-BC) currently accepting referrals based on NPI status?
Registry metadata lists BONY MATHEW (FNP-BC) as active.
What does the directory say BONY MATHEW (FNP-BC) does?
Insurance directories may phrase it differently, but here BONY MATHEW (FNP-BC) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BONY MATHEW (FNP-BC)?
BONY MATHEW (FNP-BC) is associated with Wheeling, Illinois in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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