Individual provider Active NPI

Matthew Joseph Vasey

  • Family Nurse Practitioner
  • Madison, WI
National Provider Identifier
1982075313
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209013380041399484 Issued in IL
Practice address
221 King St Ste 101
Madison, WI 53703-3419
Phone
(608) 898-4818
Fax
(608) 307-8730
NPI assigned
Oct 12, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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 209013380041399484 IL Primary

Addresses

Primary practice location

221 King St Ste 101
Madison, WI 53703-3419

Mailing address

221 King St Ste 101
Madison, WI 53703-3419
Phone (608) 898-4818

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260313000450 WI Practitioner - Nurse Practitioner 5890076087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

221 King St
Suite 101
Madison, WI 53703-3419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209013380041399484ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Ketamine of Wisconsin S.C. CurrentSince Mar 15, 2022 Accepting new patients

Locations

221 King St
Ste 101
Madison, WI 53703
Phone (608) 898-4818

Interoperability endpoints

  • Direct secure messaging: matthew.vasey.1@13676.direct.athenahealth.com

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": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1982075313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 KING ST STE 101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033419",
            "telephone_number": "608-898-4818",
            "fax_number": "608-305-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 KING ST STE 101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033419",
            "telephone_number": "608-898-4818",
            "fax_number": "608-307-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASEY",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-12",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013380041399484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.