Bryan Mathieson, NP
NPI 1205022555 · Nurse Practitioner · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bryan Mathieson, NP is a Nurse Practitioner provider in Fort Wayne, IN (NPI 1205022555).
Provider details
- NPI number
- 1205022555
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- 0024192011 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (5)
- 999 N Curtis Rd Ste 415Boise, ID 83706-1334Phone: (208) 302-2600Fax: (208) 302-2625
- 1701 N Senate BlvdIndianapolis, IN 46202-1239Phone: (317) 962-0582Fax: (317) 962-2082
- 601 John St Ste M-325Kalamazoo, MI 49007-5358Phone: (269) 341-7140
- 410 N State of Franklin Rd Ste 130Johnson City, TN 37604-6972Phone: (423) 431-2477
- 1818 N Meade StAppleton, WI 54911-3454Phone: (920) 729-3100
Registry dates
- Enumerated
- 2007-09-20
- Last updated
- 2025-12-17
- Certified
- 2025-12-17
Frequently asked questions
- What is Bryan Mathieson's NPI number?
- Bryan Mathieson's National Provider Identifier (NPI) is 1205022555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bryan Mathieson's specialty?
- Bryan Mathieson is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Bryan Mathieson located?
- Bryan Mathieson's practice location on file with NPPES is 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715.
- What is Bryan Mathieson's phone number?
- The practice phone number listed in the NPPES registry for Bryan Mathieson is (260) 266-8900.
- Does Bryan Mathieson accept Medicare?
- Bryan Mathieson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bryan Mathieson's NPI active?
- Yes — Bryan Mathieson's NPI (1205022555) is active in the NPPES registry as of the last update on 2025-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.