BRYAN P MATHIESON NP
NPI 1205022555
Nurse Practitioner in Fort Wayne, IN

Q: 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.

Q: What is Bryan Mathieson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: 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 7 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.

Active since September 20, 2007PECOS EnrolledAccepts Medicare Assignment

11141 PARKVIEW PLAZA DR STE 305, FORT WAYNE, IN 46845(260) 266-8900(260) 266-8935 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2025, Mar 24, 2025, Mar 19, 2025 and 4 more (7 updates tracked since 2021).

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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

NPI1205022555

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameBRYAN P MATHIESONCredential: NP

Location Address11141 PARKVIEW PLAZA DR STE 305Fort Wayne, IN 46845-1715

Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701

Phone(260) 266-8900

Fax(260) 266-8935

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 20, 2007

Last NPPES UpdateDecember 17, 20257 updates tracked since enumeration

NPPES CertifiedDecember 17, 2025

✔ NPI 1205022555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in IN · 71002603A✔ Licensed in ID · 78183✔ Licensed in WI · 8890

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0024192011 (VA), 26537 (TN), 4704427019 (MI), 2015002005 (MO)

11141 PARKVIEW PLAZA DR STE 305, Fort Wayne, IN 46845

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Secondary Practice Locations 5

Location 1601 John St Ste M-325Kalamazoo, MI 49007-5358 · Phone (269) 341-7140

Location 2410 N State Of Franklin Rd Ste 130Johnson City, TN 37604-6972 · Phone (423) 431-2477

Location 3999 N Curtis Rd Ste 415Boise, ID 83706-1334 · Phone (208) 302-2600 · Fax (208) 302-2625

Location 41818 N Meade StAppleton, WI 54911-3454 · Phone (920) 729-3100

Location 51701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (317) 962-0582 · Fax (317) 962-2082

Other Identifiers 3

Medicaid200889510IN

Other000000584893IN · Anthem

Medicaid3124112OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.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

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.

PECOS PAC ID3476620238

PECOS Enrollment IDI20150330000979, I20240412000731, I20250513002264, I20251222003438

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 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, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260183

Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County

Emergency services Birthing friendly

Beaufort County Memorial Hospital

Acute Care Hospitals · Beaufort, SC

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number420067

Location955 Ribaut RdBeaufort, SC 29902 · Beaufort County

Emergency services Birthing friendly

Physician 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.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

DR. CRESSILEE BRYANT M.D.

Surgery