JAISON MATHEW – Acute Care Nurse Practitioner, NPI 1891256996

JAISON MATHEW is a healthcare provider. based in Mesquite, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP140850 (TX). The NPI Number for JAISON MATHEW is 1891256996

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JAISON MATHEW
NPI
1891256996
Phone
Not provided
Address
1217 COVINGTON DR
Enumeration Date
29 March 2019
Last Update Date
29 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2145908006
Graduation Year
2018 (8 years ago)
PAC ID
0941534523
Group Practice PAC ID
8325934813
Professional Enrollment ID
I20190702001203
Address ID
TX752357709DA5200XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for JAISON MATHEW

  • 1217, Covington Drive, Mesquite, Dallas County, Texas, 75149, United States

    MESQUITE, TX 751498405

    Phone:

    Type: Mailing

  • Parkland Memorial Hospital, 5200, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75235, United States

    DALLAS, TX 752357709

    Phone: (214) 590-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $188.

Total Amount is formed as General ($188) + Research ($0) + Ownership ($0) = $188.

Last reported payment date: 2023-09-18 • Largest payer in this snapshot: Gilead Sciences, Inc. ($188).

Total Amount

$188

General + Research + Ownership

Payments

2

Total payment records

General Amount

$188

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$188
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: 2019-07-02

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
I20190702001203INurse PractitionerTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2216$0
View full utilization report →

Insurance plans in this area (ZIP 75149)

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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: 8325934813View full group profile
NameSpecialtyState
-TX
-IN
Family PracticeMA
-TX
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is JAISON MATHEW's NPI number?
JAISON MATHEW's NPI is 1891256996 — the number used across U.S. healthcare to identify this provider.
Would JAISON MATHEW appear as active to a payer?
You can treat JAISON MATHEW as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JAISON MATHEW?
JAISON MATHEW's specialty line reads Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JAISON MATHEW located near Mesquite?
JAISON MATHEW currently maps to Mesquite, Texas in this extract.
Can I trust this NPI listing for JAISON MATHEW?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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