Individual provider

Bryan Mathieson, NP

Nurse Practitioner Family Nurse Practitioner Medicare enrolled

Bryan Mathieson, NP is a Nurse Practitioner in Fort Wayne, IN, registered under NPI 1205022555. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 11141 PARKVIEW PLAZA DR STE 305, Fort Wayne, IN 46845. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

11141 PARKVIEW PLAZA DR STE 305, Fort Wayne, IN 46845 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
71002603A IN Nurse Practitioner primary
0024192011 VA Family Nurse Practitioner
78183 ID Nurse Practitioner
26537 TN Family Nurse Practitioner
8890 WI Nurse Practitioner
4704427019 MI Family Nurse Practitioner
2015002005 MO Family Nurse Practitioner

Licences are recorded in 7 states: IN, VA, ID, TN, WI, MI, MO. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
3476620238

Enrolled in Medicare 10 times, across 10 states:

StateEnrollment IDProvider type
Indiana I20080919000142 Practitioner - Nurse Practitioner
Missouri I20150330000979 Practitioner - Nurse Practitioner
Florida I20160308002190 Practitioner - Nurse Practitioner
Wisconsin I20190220001116 Practitioner - Nurse Practitioner
Idaho I20240412000731 Practitioner - Nurse Practitioner
Tennessee I20250321000185 Practitioner - Nurse Practitioner
Virginia I20250409000469 Practitioner - Nurse Practitioner
South Carolina I20250513002264 Practitioner - Nurse Practitioner
District of Columbia I20250710002611 Practitioner - Nurse Practitioner
Michigan I20251222003438 Practitioner - Nurse Practitioner

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. There are 10 separate enrolment records across 10 states (IN, MO, FL, WI, ID, TN, VA, SC, DC, MI). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 7 states

This provider holds licences in 7 states: Idaho, Indiana, Michigan, Missouri, Tennessee, Virginia and Wisconsin. The practice address on file is in Fort Wayne, IN, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

ID Idaho
Licence
78183
Specialty
Nurse Practitioner
Verify with the ID board →
IN Indiana practice address
Licence
71002603A
Specialty
Nurse Practitioner
Verify with the IN board →
MI Michigan
Licence
4704427019
Specialty
Family Nurse Practitioner
Verify with the MI board →
MO Missouri
Licence
2015002005
Specialty
Family Nurse Practitioner
Verify with the MO board →
TN Tennessee
Licence
26537
Specialty
Family Nurse Practitioner
Verify with the TN board →
VA Virginia
Licence
0024192011
Specialty
Family Nurse Practitioner
Verify with the VA board →
WI Wisconsin
Licence
8890
Specialty
Nurse Practitioner
Verify with the WI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Nurse Practitioner covers

(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. NUCC Health Care Provider Taxonomy, code 363L00000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

All registered taxonomy codes

This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363L00000X Nurse Practitioner 71002603A IN primary
363LF0000X Family Nurse Practitioner Family 0024192011 VA
363L00000X Nurse Practitioner 78183 ID
363LF0000X Family Nurse Practitioner Family 26537 TN
363L00000X Nurse Practitioner 8890 WI
363LF0000X Family Nurse Practitioner Family 4704427019 MI
363LF0000X Family Nurse Practitioner Family 2015002005 MO

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1205022555 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 20, 2007
Last updatedDec 17, 2025
StatusActive
Sole proprietorNo
CredentialNP
Practice address 11141 PARKVIEW PLAZA DR STE 305
Fort Wayne, IN 46845
(260) 266-8900
Fax (260) 266-8935
Mailing address 11109 PARKVIEW PLAZA DR # 117
Fort Wayne, IN 46845
Other identifiers 200889510 · Medicaid (IN)
000000584893 · Other (IN)
3124112 · Medicaid (OH)
This record was updated on Dec 17, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1205022555 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 0 5 0 2 2 5 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 0 5 0 2 4 5 1

Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1205022555?
NPI 1205022555 is the National Provider Identifier assigned to Bryan Mathieson, NP in Fort Wayne, IN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Nurse Practitioner cover?
(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…
How do I contact Bryan Mathieson, NP?
The phone number on file with NPPES is (260) 266-8900, last updated Dec 17, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Bryan Mathieson, NP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1205022555 a valid number?
Yes. 1205022555 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.