Sibi Mathew, MSN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP014880 Issued in PA

Practice address

2846 Knights Rd Ste B
Bensalem, PA 19020-3552

Phone

(215) 244-9894

Fax

(215) 244-9896

NPI assigned

Mar 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pro Health ClinicGroup PAC ID 6901280353, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sibi.mathew.1@27521.direct.athenahealth.com

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.

• Prohealth Clinic

  • Primary Care Clinic/Center
  • Bensalem, PA
  • NPI 1679156632

  PA

  Medicare reassignment Care Compare group NPD Authorized official
• Keystone Medical Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Warminster, PA
  • NPI 1235553496

  PA

  Medicare reassignment NPD
• Progress Home Care LLC

  • In Home Supportive Care Agency
  • Bensalem, PA
  • NPI 1407575186
  NPD Authorized official
• Progress Home Care LLC

  • Home Health Agency
  • Bensalem, PA
  • NPI 1740923473
  NPD Authorized official

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

{
    "created_epoch": "1426982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1780078352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2846 KNIGHTS RD STE B",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203552",
            "telephone_number": "215-244-9894",
            "fax_number": "215-244-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2846 KNIGHTS RD STE B",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203552",
            "telephone_number": "215-244-9894",
            "fax_number": "215-244-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "SIBI",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-22",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP014880",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maternal Child Consortium, Inc.
• Maternal Child Consortium, Inc.
• Maternal Child Consortium, Inc.
• Achsah Mathew
• Mariamma Mathew, RPH
• Elizabeth Matlack, PA-C
• Mature Mileage LLC
• Brittany Max
• Jeanine McCullion, CRNA
• Kaitlyn Elizabeth McDermott, CRNP

• All providers in Bensalem, PA
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.