RYAN MATHEWS
NPI 1790136455
Nurse Anesthetist, Certified Registered in Green Bay, WI

Q: What is Ryan Mathews's NPI number?

The NPI number for Ryan Mathews is 1790136455. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Q: What is Ryan Mathews's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Mathews was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 23, 2016Accepts Medicare Assignment

2845 GREENBRIER RD, GREEN BAY, WI 54311(920) 288-3388(920) 288-3370 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2022, Sep 26, 2016, Jun 23, 2016 (3 updates tracked since 2016).

On this page

About Ryan Mathews NPPES

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

RYAN MATHEWS (NPI 1790136455) is an individual nurse anesthetist, certified registered in Green Bay, Wisconsin, licensed in Wisconsin (172987) and active in the NPI registry since June 2016. He is affiliated with St Mary's Hospital Medical Center and is a graduate of Other (2016).

NPPES Registry Identity

NPI1790136455

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameRYAN MATHEWS

Location Address2845 GREENBRIER RDGreen Bay, WI 54311-6519

Mailing Address164 N BroadwayGreen Bay, WI 54303-2728

Phone(920) 288-3388

Fax(920) 288-3370

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 23, 2016

Last NPPES UpdateMarch 31, 20223 updates tracked since enumeration

NPPES CertifiedMarch 31, 2022

✔ NPI 1790136455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in WI · 172987

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

2845 GREENBRIER RD, Green Bay, WI 54311

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Ryan Mathews 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 ID2668750217

PECOS Enrollment IDI20161102000449

Hospital Affiliations CMS Care Compare 2

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

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520097

Location1726 Shawano AveGreen Bay, WI 54303 · Brown County

Emergency services

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520198

Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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.

AMRITHA CHANDRAHASA KARKERA M.D.

Internal Medicine (Hematology & Oncology)