MATTHEW WAHRENDORFF DEWEESE (ARNP) – Acute Care Nurse Practitioner, NPI 1134460942

MATTHEW WAHRENDORFF DEWEESE (ARNP) is a healthcare provider. based in Fortson, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 24754 (TN). The NPI Number for MATTHEW WAHRENDORFF DEWEESE (ARNP) is 1134460942

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW WAHRENDORFF DEWEESE (ARNP)
NPI
1134460942
Phone
Not provided
Address
PO BOX 370
Enumeration Date
5 March 2013
Last Update Date
21 June 2023

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6153225000
Graduation Year
2011 (15 years ago)
PAC ID
0840436044
Group Practice PAC ID
5092023416
Professional Enrollment ID
I20181203002158
Address ID
TN372320028NA1301XDRXX400

Contacts

Secure Messaging
mdeweese760227@direct.vumc.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

10,656 NURSE PRACTITIONER in TN

Provider Addresses for MATTHEW WAHRENDORFF DEWEESE (ARNP)

  • PO BOX 370

    FORTSON, GA 318080370

    Phone:

    Fax: (706) 494-3008

    Type: Mailing

  • 3443 DICKERSON PIKE STE 190

    NASHVILLE, TN 372072533

    Phone: (615) 301-8269

    Fax: (615) 612-5112

    Type: Location

  • 3443 Dickerson Pike Ste 190

    Nashville, TN 372072533

    Phone: (615) 301-8269

    Fax: (615) 612-5112

    Type: Location

  • 3841 GREEN HILLS VILLAGE DR STE 200

    NASHVILLE, TN 372152691

    Phone:

    Type: Mailing

  • 3601 THE VANDERBILT CLINIC

    NASHVILLE, TN 372322533

    Phone: (615) 322-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141118000920INurse PractitionerTXTBD
I20181203002158INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31808)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092023416View full group profile
NameSpecialtyState
Diagnostic RadiologyTN
Pediatric MedicineTN
-TN
-TN
Diagnostic Radiology, Interventional Pain ManagementTN
Certified Registered Nurse Anesthetist (Crna)TN
N E U R O L O G YTN
-TN
Physician AssistantTN
Internal MedicineTN

Reviews

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Frequently asked questions

What federal number belongs to MATTHEW WAHRENDORFF DEWEESE (ARNP)?
The federal identifier for MATTHEW WAHRENDORFF DEWEESE (ARNP) is NPI 1134460942.
Is MATTHEW WAHRENDORFF DEWEESE (ARNP) active in the national directory?
MATTHEW WAHRENDORFF DEWEESE (ARNP)'s public NPI profile is in an active state.
Can you summarize MATTHEW WAHRENDORFF DEWEESE (ARNP)'s specialty in plain language?
Clinically, the directory lists MATTHEW WAHRENDORFF DEWEESE (ARNP) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MATTHEW WAHRENDORFF DEWEESE (ARNP) practice in Georgia?
You will see Fortson, Georgia on file for MATTHEW WAHRENDORFF DEWEESE (ARNP) alongside any extra practice locations.
What if Fortson, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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