BRYAN P MATHIESON NP
NPI 1205022555
Nurse Practitioner in Fort Wayne, IN
About Bryan P Mathieson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRYAN P MATHIESON NP (NPI 1205022555) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71002603A) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 5
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bryan P Mathieson Np 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.
Medicare Billing Reassignments
13Medicare enrollment records show Bryan Mathieson reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kalamazoo, MI 49007
- Reassigned Medicare billing, Michigan enrollment
- 1,133 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 199 clinicians in this Medicare group
Midland, MI 48670
- Reassigned Medicare billing, Michigan enrollment
- 536 clinicians in this Medicare group
Mount Pleasant, WI 53405
- Reassigned Medicare billing, Wisconsin enrollment
- 72 clinicians in this Medicare group
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- 1,343 clinicians in this Medicare group
Menasha, WI 54952
- Reassigned Medicare billing, Wisconsin enrollment
- 988 clinicians in this Medicare group
Plover, WI 54467
- Reassigned Medicare billing, Wisconsin enrollment
- 2,476 clinicians in this Medicare group
Kingsport, TN 37660
- Reassigned Medicare billing, Tennessee enrollment
- 496 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 clinicians in this Medicare group
Cape Girardeau, MO 63701
- Reassigned Medicare billing, Missouri enrollment
- 595 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Alphonsus Regional Medical Center
Acute Care Hospitals · Boise, IDBronson Methodist Hospital
Acute Care Hospitals · Kalamazoo, MIBeaufort County Memorial Hospital
Acute Care Hospitals · Beaufort, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT WAYNE, IN 46845
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bryan Mathieson's NPI number?
The NPI number for Bryan Mathieson is 1205022555. It was assigned to this individual provider in the NPPES registry on September 20, 2007.
Where is Bryan Mathieson located?
Bryan Mathieson practices at 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845. The listed phone number is (260) 266-8900.
What is Bryan Mathieson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Bryan Mathieson enrolled in Medicare?
Yes. Bryan Mathieson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Bryan Mathieson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Mathieson reassigns Medicare benefits to 13 organizations: Bronson Methodist Hospital (Kalamazoo, MI), University Surgeons, Inc. (Indianapolis, IN), Mymichigan Medical Center Midland (Midland, MI), Midwest Critical Care Sc (Mount Pleasant, WI), Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI) and 8 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bryan Mathieson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bryan Mathieson accept?
Health plans from CareSource, Cigna Healthcare, Priority Health and UnitedHealthcare list Bryan Mathieson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Bryan Mathieson affiliated with any hospitals?
According to CMS data, Bryan Mathieson is affiliated with Saint Alphonsus Regional Medical Center, Bronson Methodist Hospital and Beaufort County Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Bryan Mathieson was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Bryan P Mathieson, NP · NPI 1205022555
Nurse Practitioner physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since September 20, 2007.
## Identity
- **NPI:** 1205022555 (Entity type: Individual)
- **Enumerated:** September 20, 2007
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 71002603A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 11141 PARKVIEW PLAZA DR STE 305, Fort Wayne, IN 46845-1715
- **Phone:** (260) 266-8900 · **Fax:** (260) 266-8935
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 13 organizations under Medicare reassignment (form CMS-855R): Bronson Methodist Hospital (NPI 1417961137, Kalamazoo, MI); University Surgeons, Inc. (NPI 1316966229, Indianapolis, IN); Mymichigan Medical Center Midland (NPI 1205889490, Midland, MI); Midwest Critical Care Sc (NPI 1093425647, Mount Pleasant, WI); Ascension Medical Group-Southeast Wisconsin Inc (NPI 1194473066, Milwaukee, WI); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 17, 2025
- **Other identifiers:** Medicaid 200889510 (IN); Other 000000584893 (IN); Medicaid 3124112 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1205022555) · Data from the CMS NPPES public registry.