Gary C Wysocki, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

008186 Issued in NY

Practice address

397 Louisiana St
Buffalo, NY 14204-2275

Phone

(716) 847-6610

NPI assigned

May 15, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sisters of Charity Hospital of Buffalo New YorkGroup PAC ID 6204749153, 160 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McAuley Seton Home Care Corp Chha Home health agency, Buffalo, NY, CCN 337251
• Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
• Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gwysocki20298@direct.chsbuffalo.org

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.

• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1790727543
  Medicare reassignment Care Compare group NPD
• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1164464921
  Medicare reassignment NPD
• Mount St. Mary'S Hospital of Niagara Falls

  • General Acute Care Hospital
  • Lewiston, NY
  • NPI 1043394745
  Medicare reassignment NPD
• Trinity Medical Wny PC

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1295043149

  Physician Assistant

  Medicare reassignment NPD
• Kenmore Mercy Hospital

  • General Acute Care Hospital
  • Kenmore, NY
  • NPI 1770598104
  Medicare reassignment
• Eastern Great Lakes Pathology PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Buffalo, NY
  • NPI 1467481564
  NPD
• Kenmore Mercy Hospital

  • Pulmonary Disease Physician
  • Kenmore, NY
  • NPI 1659909752
  NPD
• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1851929954

  Physician Assistant

  NPD
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Cheektowaga, NY
  • NPI 1043455199
  NPD
• Sisters of Charity Hospital of Buffalo, New York

  • Obstetrics & Gynecology Physician
  • Buffalo, NY
  • NPI 1659396380
  NPD
• Trinity Medical Wny PC

  • Vascular Surgery Physician
  • Buffalo, NY
  • NPI 1205468055
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McAuley Seton Home Care Corporation

  • Home Health Agency
  • Cheektowaga, NY
  • NPI 1699772343
  Care Compare affiliation
• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1164464921
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Cheektowaga, NY
  • NPI 1043455199
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1790727543
  Care Compare affiliation

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1568413102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 LOUISIANA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142042275",
            "telephone_number": "716-847-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 LOUISIANA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142042275",
            "telephone_number": "716-847-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSOCKI",
        "first_name": "GARY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD HEALTH NOW",
            "identifier": "00057036602",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9514132",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTH",
            "identifier": "00027974001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "070515000056",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Torrie Lyn Wydysh
• Kathy Ann Wylie, M.A., SLP/CCC
• Cori A Wyman, PHARM D
• Sherece Chonte Wynter
• Mantha Wyse
• Terry Xia, MD
• Jiantao Xiao, M.D.
• Kevin Xie, MD
• Xilei Xu Chen, M.D.
• Bo Xu, MD PHD

• Physician Assistant in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.