Individual provider Active NPI

Jesse Mathwig, FNP-BC

  • Family Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1134064371
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114827-NP Issued in WA
Practice address
9106 W Rutter Pkwy
Spokane, WA 99208-9210
Phone
(360) 880-8193
NPI assigned
Apr 22, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 114827-NP WA Primary

Addresses

Primary practice location

9106 W Rutter Pkwy
Spokane, WA 99208-9210

Mailing address

6225 E Valleyview Dr
Spokane Valley, WA 99212-3276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260519004741 WA Practitioner - Nurse Practitioner 9436628344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1080 E Stuart Dr Apt
Suite 7
Galax, VA 24333-2646

5261 Carrollton Pike
Suite a
Woodlawn, VA 24381-3034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114827-NPWAMDFamily Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1134064371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 E VALLEYVIEW DR",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992123276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 W RUTTER PKWY",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089210",
            "telephone_number": "360-880-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHWIG",
        "first_name": "JESSE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "114827-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.