Mrs Jisha Mathew, APRN - Medicare Nurse Practitioner in League City, TX

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Mrs Jisha Mathew, APRN is a medicare enrolled "Nurse Practitioner - Family" in League City, Texas. Her current practice location is 2911 S Shore Blvd Ste 190, League City, Texas. You can reach out to her office (for appointments etc.) via phone at (281) 538-8188.

Mrs Jisha Mathew is licensed to practice in Texas (license number 1121908) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205478724.

Contact Information

Mrs Jisha Mathew, APRN
2911 S Shore Blvd Ste 190,
League City, TX 77573-3919
(281) 538-8188
(281) 538-8189

Map and Direction




Provider's Profile

Full NameMrs Jisha Mathew
GenderFemale
SpecialityNurse Practitioner - Family
Location2911 S Shore Blvd Ste 190, League City, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205478724
  • Provider Enumeration Date: 10/16/2019
  • Last Update Date: 04/21/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6709288723
  • Enrollment ID: I20230905003655

Medical Identifiers

Medical identifiers for Mrs Jisha Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205478724NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1121908 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jisha Mathew allows following entities to bill medicare on her behalf.
Entity NameFamily Tree Health Clinic PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205907987
PECOS PAC ID: 1658349659
Enrollment ID: O20040917000766
Entity NameCls Health PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750305355
PECOS PAC ID: 7214962117
Enrollment ID: O20090424000109
Entity NameClear Lake Primary Care PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861743247
PECOS PAC ID: 6406001627
Enrollment ID: O20130219000294

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jisha Mathew is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jisha Mathew, APRN
Po Box 57845,
Webster, TX 77598-7845

Ph: (281) 538-8188		Mrs Jisha Mathew, APRN
2911 S Shore Blvd Ste 190,
League City, TX 77573-3919

Ph: (281) 538-8188

Reviews and Comments


Nurse Practitioner Nurses in League City, TX

Mrs. Laura Day Ellender, RN, CEN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6465 S Shore Blvd, League City, TX 77573
Phone: 281-538-7735    
Mrs. Tamira Mckenzie, MSN,RN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2517 Winged Dove Dr, League City, TX 77573
Phone: 713-494-3267    
Jennifer Jo Schaaf,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 2785 Gulf Fwy S, League City, TX 77573
Phone: 409-772-1011    
Mona Kidwell, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2785 Gulf Fwy S, Suite 115, League City, TX 77573
Phone: 832-816-1370    
Melissa Vanessa Flores, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2660 Gulf Fwy S, League City, TX 77573
Phone: 832-505-2100    Fax: 281-337-0704
Tiauna Lenea Douglas,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 2785 Gulf Fwy S Ste 2.200, League City, TX 77573
Phone: 888-886-2543    
Hilma Peiso Bochantin, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2240 Gulf Fwy S, League City, TX 77573
Phone: 832-505-1234    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.