Elizabeth Wilson, MS, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28197879A Issued in IN

Practice address

7886 SE 13TH Ave
Portland, OR 97202-6300

Phone

(503) 956-9396

Fax

(503) 206-4791

NPI assigned

Jan 10, 2016

Last updated

Oct 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1452384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1639535495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 WAYNE ST",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460602134",
            "telephone_number": "503-754-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7886 SE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026300",
            "telephone_number": "503-956-9396",
            "fax_number": "503-206-4791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1195 Wayne St",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460602134",
            "country_code": "US",
            "telephone_number": "503-754-1176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MS, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-10",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28197879A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davonna Wilson, DNP, ARNP, PMHNP-BC
• Deanna Marie Wilson, LMT LICENSE #13180
• Deborah Lee Wilson, PMHNP
• Deonte Mikel Wilson
• Dominique R Wilson, DNP, PMHNP, FNP
• Eric Wilson
• Erika Helen Wilson, D.O.
• Erin Elizabeth Wilson
• Eva Wilson
• Gail Renee Wilson

• Family Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; 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.