Active NPI
Elizabeth A Wilson, APRN-CNP
- Nurse Practitioner
- Rogers, AR
National Provider Identifier
1437004538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 212782
- Practice address
- 2203 S Promenade Blvd Ste 5185
Rogers, AR 72758-8722 - Phone
- (479) 480-7200
- Fax
- (479) 480-7272
- NPI assigned
- Mar 3, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 212782 | AR | Primary |
Addresses
Primary practice location
2203 S Promenade Blvd Ste 5185
Rogers, AR 72758-8722
Mailing address
2203 S Promenade Blvd Ste 5185
Rogers, AR 72758-8722
Phone (479) 480-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212782 | AR | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1437004538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 S PROMENADE BLVD STE 5185",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588722",
"telephone_number": "479-480-7200",
"fax_number": "479-480-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 S PROMENADE BLVD STE 5185",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588722",
"telephone_number": "479-480-7200",
"fax_number": "479-480-7272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-03",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "212782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.