Elizabeth Wilson, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP9433714 Issued in FL

Practice address

4401 Cortez Rd W
Bradenton, FL 34210-3142

Phone

(941) 357-5550

Fax

(941) 792-7152

NPI assigned

Aug 23, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, FL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mill Basin Medical Health PCGroup PAC ID 9133566128, 104 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wynn Hospital Hospital, Utica, NY, CCN 330044

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Mill Basin Medical Health PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1346006202
  Medicare reassignment Care Compare group NPD
• Post Acute Specialists of Florida PLLC

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1992571608

  Adult Health

  Medicare reassignment NPD
• Sunshine Neurology PA

  • Neurology Physician
  • Sun City Center, FL
  • NPI 1720172604
  Medicare reassignment NPD
• Impact Care Physicians Ny PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1538015854
  Medicare reassignment
• Brandon-Riverview Medical Associates PA

  • Internal Medicine Physician
  • Brandon, FL
  • NPI 1235411000
  NPD
• HPP Physicians LLC

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1184093023
  NPD
• Florida Medical Specialists LLC

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1164795563
  NPD (past)

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

• MVHS Inc

  • General Acute Care Hospital
  • Utica, NY
  • NPI 1205877172
  Care Compare affiliation

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1114275153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25487",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772487",
            "telephone_number": "941-202-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103142",
            "telephone_number": "941-357-5550",
            "fax_number": "941-792-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-23",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306158-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9433714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019547200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Willoughby, DO
• Brenda Marie Wilson, LMHC
• Catherine Choate Wilson, LMHC
• Claudia Wilson, ARNP
• Deborah Mae Wilson, PTA
• Julie Keebler Wilson
• Kelley Wilson
• Kristina Swetland Wilson, P.T., D.P.T.
• Lucas Robert Beattie Wilson, DC
• Richard Waide Wilson, PHARMACIST

• Adult Health Nurse Practitioner in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.