Bryan P Mathieson, NP in Fort Wayne, IN - Medicare Nurse Practitioner

Bryan P Mathieson, NP is a medicare enrolled "Nurse Practitioner" in Fort Wayne, Indiana. He graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Saint Alphonsus Regional Medical Center Inc, Bronson Methodist Hospital, Saint Francis Medical Center, Beaufort County Memorial Hospital and his current practice location is 11141 Parkview Plaza Dr Ste 305, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 266-8900.

Bryan P Mathieson is licensed to practice in Indiana (license number 71002603A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205022555.

Contact Information

	Bryan P Mathieson, NP
	11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715
	(260) 266-8900
	(260) 266-8935

Map and Direction

Provider's Profile

Full Name	Bryan P Mathieson
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	11141 Parkview Plaza Dr Ste 305, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bryan P Mathieson graduated from nursing school in 2023

NPI Data:

NPI Number: 1205022555
Provider Enumeration Date: 09/20/2007
Last Update Date: 12/17/2025

Medicare PECOS Information:

PECOS PAC ID: 3476620238
Enrollment ID: I20240412000731

Medical Identifiers

Medical identifiers for Bryan P Mathieson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205022555	NPI	-	NPPES
200889510	Medicaid	IN
000000584893	Other	IN	ANTHEM
3124112	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024192011 (Virginia)	Secondary
363L00000X	Nurse Practitioner	78183 (Idaho)	Secondary
363L00000X	Nurse Practitioner	71002603A (Indiana)	Primary
363LF0000X	Nurse Practitioner - Family	26537 (Tennessee)	Secondary
363L00000X	Nurse Practitioner	8890 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	4704427019 (Michigan)	Secondary
363LF0000X	Nurse Practitioner - Family	2015002005 (Missouri)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaufort County Memorial Hospital	Beaufort, SC	Hospital
Saint Francis Medical Center	Cape girardeau, MO	Hospital
Saint Alphonsus Regional Medical Center	Boise, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Saint Alphonsus Regional Medical Center Inc	3476462359	665
Bronson Methodist Hospital	0244148633	722
Saint Francis Medical Center	9931007929	438
Beaufort County Memorial Hospital	7810809365	207

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bryan P Mathieson allows following entities to bill medicare on his behalf.

Entity Name	Saint Alphonsus Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bryan P Mathieson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Bryan P Mathieson, NP 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Bryan P Mathieson, NP 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 Ph: (260) 266-8900

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275
Luann Deafenbaugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-436-0800 Fax: 260-483-1911
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672
Mr. Justin Michael Garrison, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3898 New Vision Dr Bldg M, Fort Wayne, IN 46845 Phone: 260-425-4050
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455

Bryan P Mathieson, NP - Medicare Nurse Practitioner in Fort Wayne, IN