MALLORY WYRICK PA-C
NPI 1184487407
Physician Assistant in Fort Worth, TX

Q: What is Mallory Wyrick's NPI number?

The NPI number for Mallory Wyrick is 1184487407. It was assigned to this individual provider in the NPPES registry on January 31, 2024.

Q: What is Mallory Wyrick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mallory Wyrick was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 31, 2024PECOS EnrolledAccepts Medicare Assignment

1250 8TH AVE STE 135, FORT WORTH, TX 76104(214) 358-2300(214) 579-6993 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mallory Wyrick Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY WYRICK PA-C (NPI 1184487407) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA17629) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White All Saints Medical Center Fort Worth, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1184487407

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMALLORY WYRICKCredential: PA-C

Location Address1250 8TH AVE STE 135Fort Worth, TX 76104-4156

Mailing Address1505 Lbj Fwy Ste 700Dallas, TX 75234-6065 · (214) 358-2300 · Fax (214) 579-6941

Phone(214) 358-2300

Fax(214) 579-6993

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 31, 2024

Last NPPES UpdateFebruary 5, 2025

NPPES CertifiedFebruary 5, 2025

✔ NPI 1184487407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA17629

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1250 8TH AVE STE 135, Fort Worth, TX 76104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Insurance Company, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mallory Wyrick Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375983547

PECOS Enrollment IDI20240506000086

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

31 services23 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

23 services18 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

22 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services12 patients

Liver function blood test panel 80076

A liver function blood test panel helps check the health of your liver. It measures various proteins, liver enzymes, and bilirubin in your blood. If these levels are too high or too low, it could signal a liver problem. It's a simple, non-invasive test that involves drawing blood.

19 services17 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

14 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White All Saints Medical Center Fort Worth

Acute Care Hospitals · Fort Worth, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450137

Location1400 Eighth AveFort Worth, TX 76104 · Tarrant County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN RHODES L.D.

Dietitian, Registered