Active NPI
Mathew Andrew Tilson, APNP
- Nurse Practitioner
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 10069
- Practice address
- 2741 W Layton Ave Ste 201
Milwaukee, WI 53221-2600 - Phone
- (414) 672-8050
- NPI assigned
- Jun 30, 2010
- Last updated
- Jul 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 10069 | WI | Primary |
| Registered Nurse | 163W00000X | 172644-030 | WI |
Addresses
Primary practice location
2741 W Layton Ave Ste 201
Milwaukee, WI 53221-2600
Mailing address
2018 N 114TH St
Wauwatosa, WI 53226-2214
Phone (414) 839-5795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advantage Physical Therapy and Sports Rehab, LLC
Practice addresses (Care Compare)
10700 W Howard Ave
Suite B
Greenfield, WI 53228-1321
Phone (414) 545-1120
2741 W Layton Ave
Milwaukee, WI 53221-2600
2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 649-6000
3503 E Layton Ave
Unit 100
Cudahy, WI 53110-1408
Phone (414) 489-0270
9035 N 97TH St
Milwaukee, WI 53224-1603
Phone (414) 368-3311
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172644-030 | WI | MD | Registered Nurse |
| 10069 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Turgut Zia SC | Current | Accepting new patients | |
| MDS Lab LLC | Current | Accepting new patients |
Locations
10700 W Howard Ave
Ste B
Greenfield, WI 53228
Phone (414) 460-3195
2741 W Layton Ave
Ste 201
Milwaukee, WI 53221
Phone (414) 672-7343
Interoperability endpoints
- https://api.platform.athenahealth.com/25700/brand/1/csg/1/fhir/r4
- mathew.tilson.1@25700.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1245558741
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
-
dba Aurora West Allis Medical Center
- Clinic/Center
- West Allis, WI
- NPI 1235345695
Hospital
-
dba Aurora West Allis Medical Center
- General Acute Care Hospital
- West Allis, WI
- NPI 1407801640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1467763813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2018 N 114TH ST",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532262214",
"telephone_number": "414-839-5795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 W LAYTON AVE STE 201",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532212600",
"telephone_number": "414-672-8050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILSON",
"first_name": "MATHEW",
"middle_name": "ANDREW",
"credential": "APNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-30",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "10069",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "172644-030",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.