Scott R. Wysowski, PA-C
Physician Assistant · Fort Worth, TX
Scott R. Wysowski, PA-C is a physician assistant with a practice address in Fort Worth, Texas, and NPI 1770693640, issued on Aug 30, 2006. Check the license (Texas PA04750, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Scott R. Wysowski
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PA04750 TX
Self-reported in NPPES; status is on the state search - Practice location
- 4501 Heritage Trace Pkwy Ste 101, Fort Worth, TX 76244
- Phone
- (817) 481-2121
- Enumerated
- Aug 30, 2006
- Record last updated
- Jan 4, 2022
- Medicare enrollment
- Enrolled (PECOS I20060425000723); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 10,999 in Texas → Look up another NPI →
Also registered at 4501 Heritage Trace Pkwy Ste 101
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Scott R. Wysowski in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Texas board licenses this profession
Search for license PA04750Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Dallas Medical Specialists, PLLCGranbury, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Scott R. Wysowski among 10,999 physician assistant records in Texas
Scott R. Wysowski, PA-C is one of 10,999 physician assistant records with a practice address in Texas. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.
- NPI issued2006 · 3% of these records are older, 86% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 55% of these records are
- Graduated2003 · median 2017 among the 6,096 with a school on file
- Record last updated2022 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
599 physician assistant records list a practice address in Fort Worth
They are 599 of the 15,511 NPPES records with a practice address in Fort Worth, and 10,999 physician assistant records in Texas.
All 10,999 in Texas → Every provider in Fort Worth → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Jana Atkins, PAFort Worth, TX 762441033173802
- Alexandra Bewley, PA-CFort Worth, TX 762441851772958
- Kristen Bolton, P.A.Fort Worth, TX 762441275641342
- Leslie Cortez, PA-CFort Worth, TX 762441740511971
- Kerbi Elsenbroek, PAFort Worth, TX 762441801119771
- Jacquelyn Garvin, P.A.Fort Worth, TX 762441275937153
- Ryan Kendrick, PACFort Worth, TX 762441386821213
- Dana Landavazo, PA-CKeller, TX 762441053597989
Common questions
What is Scott R. Wysowski, PA-C's NPI number?
Scott R. Wysowski, PA-C's National Provider Identifier (NPI) is 1770693640, issued on Aug 30, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Scott R. Wysowski, PA-C located?
The NPPES record lists a practice address at 4501 Heritage Trace Pkwy Ste 101, Fort Worth, TX, 76244. Phone: (817) 481-2121. Providers update this record themselves, so call before visiting.
How can I verify Scott R. Wysowski, PA-C's license?
NPPES lists Texas license number PA04750, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.