Wyatt Gottschalk
NPI 1639989379 · Physician Assistant · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wyatt Gottschalk is a Physician Assistant provider in Fort Wayne, IN (NPI 1639989379).
Provider details
- NPI number
- 1639989379
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 10004765A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-01-13
- Last updated
- 2026-03-26
- Certified
- 2026-03-26
Frequently asked questions
- What is Wyatt Gottschalk's NPI number?
- Wyatt Gottschalk's National Provider Identifier (NPI) is 1639989379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wyatt Gottschalk's specialty?
- Wyatt Gottschalk is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Wyatt Gottschalk located?
- Wyatt Gottschalk's practice location on file with NPPES is 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701.
- What is Wyatt Gottschalk's phone number?
- The practice phone number listed in the NPPES registry for Wyatt Gottschalk is (260) 248-7711.
- Does Wyatt Gottschalk accept Medicare?
- Wyatt Gottschalk is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Wyatt Gottschalk's NPI active?
- Yes — Wyatt Gottschalk's NPI (1639989379) is active in the NPPES registry as of the last update on 2026-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.