WALTER MATHENY II APRN FNP-C
NPI 1053911339
Nurse Practitioner - Family in Shreveport, LA

Q: What is Walter Matheny's NPI number?

The NPI number for Walter Matheny is 1053911339. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Q: What is Walter Matheny's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Walter Matheny was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 27, 2020PECOS EnrolledAccepts Medicare Assignment

1541 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000(318) 629-4833 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2023, Oct 27, 2020 (2 updates tracked since 2020).

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About Walter Matheny Ii Aprn Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALTER MATHENY II APRN FNP-C (NPI 1053911339) is an individual family provider in Shreveport, Louisiana, licensed in Louisiana (215856) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lsu Health Shreveport, and maintains a secondary practice location in Minden.

NPPES Registry Identity

NPI1053911339

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameWALTER MATHENY IICredential: APRN FNP-C

Location Address1541 KINGS HWYShreveport, LA 71103-4228

Mailing Address1512 W Kirby PlShreveport, LA 71103-3822

Phone(318) 626-0000

Fax(318) 629-4833

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 27, 2020

Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2023

✔ NPI 1053911339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in LA · 215856

Also ListedNurse PractitionerTaxonomy 363L00000X · License 215856 (LA)

1541 KINGS HWY, Shreveport, LA 71103

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Secondary Practice Location 1

Location 1216 W Union Street Ste A MindenMinden, LA 71055 · Phone (318) 299-6334 · Fax (318) 299-6332

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Walter Matheny Ii Aprn Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305257593

PECOS Enrollment IDI20201119000045

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Lsu Health Shreveport

Acute Care Hospitals · Shreveport, LA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190098

Location1541 Kings HighwayShreveport, LA 71103 · Caddo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRATIK AGRAWAL

Internal Medicine (Cardiovascular Disease)