Derek Lee Wrzesinski, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13000 Issued in TX

Practice address

4701 Boat Club Rd Ste 200
Fort Worth, TX 76135-5285

Phone

(817) 237-0515

NPI assigned

Aug 28, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596
  Medicare reassignment Care Compare group
• You First Family Care PLLC

  dba DW Health First

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1194578625
  NPD Authorized official
• DW First Health

  • Medical Physician Assistant
  • Fort Worth, TX
  • NPI 1932886850
  NPD (past) Authorized official
• Texas Health Physicians Group

  dba Sleep Healers

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Kaufman, TX
  • NPI 1992151740
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1285282731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 BOAT CLUB RD STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761355285",
            "telephone_number": "817-237-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 BOAT CLUB RD STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761355285",
            "telephone_number": "817-237-0515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5605 Wills Creek Ln",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761797627",
            "country_code": "US",
            "telephone_number": "682-231-8656",
            "fax_number": "214-279-5318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRZESINSKI",
        "first_name": "DEREK",
        "middle_name": "LEE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-28",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwrzesinski65508@direct.texashealth.org",
            "affiliation": "N",
            "endpointDescription": "hie",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4701 Boat Club Rd Ste 200",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761355285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taylor Wright, M.S., CCC-SLP
• Terry Wright, DPM
• Natasha Nicole Wrinkle, DC
• Bobby J Wroten, MD
• Eric Sanders Wroten, MD
• WSB PLLC
• Bo B Wu, MD
• Chenxi Wu, MD, PHD
• Jonathan Wu, M.D.
• Liancun Wu

• Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.