Individual provider Active NPI

Sheila Susan Mathew, FNP

  • Family Nurse Practitioner
  • Middletown, NY
National Provider Identifier
1063784908
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F336989-1 Issued in NY
Practice address
155 Crystal Run Rd
Middletown, NY 10941-4028
Phone
(845) 703-6999
Fax
(845) 703-6297
NPI assigned
Feb 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F336989-1 NY Primary

Addresses

Primary practice location

155 Crystal Run Rd
Middletown, NY 10941-4028

Mailing address

155 Crystal Run Rd
Middletown, NY 10941-4028
Phone (845) 703-6999

Other identifiers 1

IdentifierTypeStateIssuer
04494919MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sheila.mathewfnpbc.p1@direct.crystalrun.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160929001908 NY Practitioner - Nurse Practitioner 3870880115 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Medical Physician Associates PCGroup PAC ID 6709226350, 208 clinicians
Cogent Medical Care PCGroup PAC ID 7315836780, 152 clinicians
Crystal Run Healthcare Physicians LLPGroup PAC ID 6901792696, 366 clinicians
Symphony Medical PCGroup PAC ID 5890916068, 55 clinicians

Practice addresses (Care Compare)

15 Maple Ave
Warwick, NY 10990-1028
Phone (845) 986-2276

160 N Midland Ave
Nyack, NY 10960-1912
Phone (845) 348-2000

241 N Rd
Poughkeepsie, NY 12601-1154
Phone (845) 483-5000

300 Crystal Run Rd
Middletown, NY 10941-4069
Phone (845) 692-6999

967 N Bdway
Yonkers, NY 10701-1301
Phone (914) 798-8956

Hospital & facility affiliations

  • St Anthony Community Hospital Hospital, Warwick, NY, CCN 330205
  • Nyack Hospital Hospital, Nyack, NY, CCN 330104
  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158
  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F336989-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Run Healthcare Physicians LLP CurrentSince Oct 2, 2017 Accepting new patients
Crystal Run Healthcare Physicians LLP CurrentSince Oct 2, 2017 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Jun 11, 2016 Accepting new patients
Hospitalist Medicine Physicians of New York, PLLC CurrentSince Aug 1, 2022 Accepting new patients
Symphony Medical PC CurrentSince Oct 1, 2018 Accepting new patients
New York Medical Physician Associates PC CurrentSince Feb 18, 2026 Accepting new patients
New York Medical Physician Associates PC CurrentSince Feb 18, 2026 Accepting new patients
Symphony Medical PC Current Accepting new patients
Symphony Medical PC CurrentSince Oct 1, 2018 Accepting new patients
St. John'S Riverside Hospital Past Accepting new patients
St. Anthony Community Hospital Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

185 Old Broadway
Hastings on Hudson, NY 10706
Phone (718) 863-5511

155 Crystal Run Rd
Middletown, NY 10941

300 Crystal Run Rd
Middletown, NY 10941
Phone (845) 692-6999

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

967 N Broadway
#4
Yonkers, NY 10701

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4
  • Direct secure messaging: smathew142183@direct.optum.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063784908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CRYSTAL RUN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414028",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CRYSTAL RUN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414028",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "SHEILA",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336989-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04494919",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sheila.mathewfnpbc.p1@direct.crystalrun.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "155 Crystal Run Rd",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109414028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.