Individual provider Active NPI

Lawrence Scott Wilner, D.O.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1518068709
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
W1714 Issued in TX
Practice address
855 Montgomery St
Fort Worth, TX 76107-2553
Phone
(817) 735-2228
Fax
(817) 735-2099
NPI assigned
Sep 26, 2006
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X W1714 TX Primary
Family Medicine Physician 207Q00000X DR.0032016 CO

Addresses

Primary practice location

855 Montgomery St
Fort Worth, TX 76107-2553

Mailing address

PO Box 99335
Fort Worth, TX 76199-0335
Phone (817) 735-2228

Other practice location 1

75 Printers Pkwy Ste 200
Colorado Springs, CO 80910-3142
Phone (719) 300-8433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040525000893 CO Practitioner - Family PracticePractitioner - General Practice 1850372061 Reassigns benefits to 1 organization
I20251108000341 TX Practitioner - Family Practice 1850372061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Primary CareGroup PAC ID 3577988864, 9 clinicians

Practice addresses (Care Compare)

75 Printers Pkwy
Suite 200
Colorado Springs, CO 80910-3142
Phone (719) 300-8433

855 Montgomery St
Fort Worth, TX 76107-2553
Phone (817) 735-5418

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32016COMDFamily Medicine Physician
W1714TXMDFamily Medicine Physician
4551AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Primary Care Family Medicine CurrentSince Jul 6, 2020 Accepting new patients
University of North Texas Health Science Center at Fort Worth Current Accepting new patients
University of North Texas Health Science Center at Fort Worth Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
University of North Texas Health Science Center at Fort Worth Current Accepting new patients
University of North Texas Health Science Center at Fort Worth Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Summit Primary Care CurrentSince Jul 6, 2020 Accepting new patients
Sedgwick County Memorial Hospital CurrentSince Nov 18, 2024 Accepting new patients
University of North Texas Health Science Center at Fort Worth Family Medicine Past Accepting new patients
Premier Urgent Care P.C. Past Accepting new patients
Summit Primary Care Past Accepting new patients
Golden Peaks Family Medicine PC Family Medicine Past Accepting new patients

Locations

2301 E Pikes Peak Ave
Ste 100
Colorado Springs, CO 80909
Phone (719) 373-1212

75 Printers Pkwy
Ste 200
Colorado Springs, CO 80910
Phone (719) 300-1122

300 E Hampden Ave
Ste 201
Englewood, CO 80113
Phone (303) 991-7700

900 Cedar St
Julesburg, CO 80737
Phone (970) 474-3323

2317 San Juan Ave
La Junta, CO 81050
Phone (719) 383-2325

1120 Minnequa Ave
Pueblo, CO 81004
Phone (719) 281-3285

855 Montgomery St
Fl 2
Fort Worth, TX 76107
Phone (817) 735-2228

855 Montgomery St
Ft Worth, TX 76107
Phone (817) 735-2334

Interoperability endpoints

  • Direct secure messaging: lawrence.wilner.p1@direct.unthsc.nextgenshare.com
  • Direct secure messaging: summitprimarycare.lawrencewilner@157142.advancedmd-direct.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1518068709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99335",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761990335",
            "telephone_number": "817-735-2228",
            "fax_number": "817-735-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 MONTGOMERY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072553",
            "telephone_number": "817-735-2228",
            "fax_number": "817-735-2099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Printers Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809103142",
            "country_code": "US",
            "telephone_number": "719-300-8433",
            "fax_number": "719-300-7796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILNER",
        "first_name": "LAWRENCE",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "W1714",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0032016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.