Elizabeth Ann Wilson, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

689622 Issued in TX

Practice address

1441 Pine St
Abilene, TX 79601-3534

Phone

(325) 267-3252

Fax

(325) 672-3009

NPI assigned

May 1, 2009

Last updated

Mar 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Ann Nichols Former name

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Matthew E Wick, MD

  • Family Medicine Physician
  • Abilene, TX
  • NPI 1275779035
  Medicare reassignment
• Annie Drachenberg, MD PLLC

  • Primary Care Clinic/Center
  • Abilene, TX
  • NPI 1659840379
  NPD

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1144464371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013534",
            "telephone_number": "325-267-3252",
            "fax_number": "325-672-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013534",
            "telephone_number": "325-267-3252",
            "fax_number": "325-672-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-01",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "689622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "NICHOLS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evan T Willis
• Steven James Willis, PHARM.D.
• Danita Arlene Wilson Preston, RN, CHPN
• Ariana Wilson
• Ava Grace Wilson
• Holly L Wilson, PT
• Jasalee Wilson, LPC-ASSOCIATE
• Katherine Wilson, FNP-C
• Leslie Wilson
• Melanie Danielle Wilson

• Nurse Practitioner in Abilene, TX
• Providers in Abilene, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.