NICOLE PAOLA MATHES (MD) – Family Medicine Physician, NPI 1023302007
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,711 FAMILY PRACTICE in NY
Provider Addresses for NICOLE PAOLA MATHES (MD)
630 W 168TH ST
P&S BOX 100
NEW YORK, NY 100323725
Phone:
Type: Mailing
100 HAVEN AVE
SUITE 27C
NEW YORK, NY 100322645
Phone: (212) 544-1938
Type: Location
1923 S UTICA AVE
TULSA, OK 741046520
Phone: (918) 403-7065
Fax: (918) 744-2946
Type: Mailing
800 W BOISE CIR STE 160
BROKEN ARROW, OK 740124932
Phone: (918) 994-9166
Fax: (918) 403-6306
Type: Location
11511 SHADOW CREEK PKWY
PEARLAND, TX 775847298
Phone: (713) 442-4997
Type: Mailing
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: 2024-08-13
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 |
|---|---|---|---|---|
| I20240813001715 | I | Family Practice | OK | 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 10032)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Internal Medicine | OK | |
| Internal Medicine | OK | |
| - | OK | |
| Family Practice | OK | |
| Family Practice, General Practice, Emergency Medicine | ND | |
| Mental Health Counselor | OK | |
| Family Practice | MO |
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