Scott Wysowski, PA-C
NPI 1770693640 · Physician Assistant · Fort Worth, TX
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Scott Wysowski, PA-C is a Physician Assistant provider in Fort Worth, TX (NPI 1770693640).
Provider details
- NPI number
- 1770693640
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA04750 (TX)
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
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 2535 Ira E Woods AveGrapevine, TX 76051-3930Phone: (817) 481-2121Fax: (817) 488-4493
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2022-01-04
- Certified
- 2020-04-27
Frequently asked questions
- What is Scott Wysowski's NPI number?
- Scott Wysowski's National Provider Identifier (NPI) is 1770693640, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Scott Wysowski's specialty?
- Scott Wysowski is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Scott Wysowski located?
- Scott Wysowski's practice location on file with NPPES is 4501 Heritage Trace Pkwy Ste 101, Fort Worth, TX 76244-8941.
- What is Scott Wysowski's phone number?
- The practice phone number listed in the NPPES registry for Scott Wysowski is (817) 481-2121.
- Does Scott Wysowski accept Medicare?
- Scott Wysowski is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Scott Wysowski's NPI active?
- Yes — Scott Wysowski's NPI (1770693640) is active in the NPPES registry as of the last update on 2022-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.