Individual provider Active NPI

Elizabeth Alice Nelson, PA-C

  • Physician Assistant
  • Watertown, WI
National Provider Identifier
1669007357
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5149-23 Issued in WI
Practice address
123 Hospital Dr Ste 1008
Watertown, WI 53098-3320
Phone
(920) 206-6500
NPI assigned
Mar 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5149-23 WI Primary

Addresses

Primary practice location

123 Hospital Dr Ste 1008
Watertown, WI 53098-3320

Mailing address

18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (866) 974-2673

Other practice location 1

750 Highland Ave
Madison, WI 53705-2221
Phone (680) 263-5620

Other practice location 2

2501 W Beltline Hwy Ste 601
Madison, WI 53713-2309
Phone (608) 234-7436

Other identifiers 1

IdentifierTypeStateIssuer
10014061MedicaidWI

Other names 1

  • Elizabeth Alice Gilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20200731002070 WI Practitioner - Physician Assistant 3577988948 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic and Spine Centers of Wisconsin SCGroup PAC ID 0143687285, 25 clinicians

Practice addresses (Care Compare)

123 Hospital Dr
Suite 1008
Watertown, WI 53098-3320
Phone (920) 206-6500

2501 W Beltline Hwy
Suite 601
Madison, WI 53713-2309
Phone (608) 234-7436

Hospital & facility affiliations

  • Watertown Memorial Hospital Hospital, Watertown, WI, CCN 520116

Merit-based Incentive Payment System (MIPS)

Final score
82.38 of 100Reported as group
Quality
75.94
Promoting interoperability
89
Improvement activities
40
Cost
74.5

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5149-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Edgerton Hospital and Health Services, Inc CurrentSince Oct 1, 2025 Accepting new patients
Watertown Physician Practices LLC CurrentSince Aug 31, 2020 Accepting new patients
Orthopedic & Spine Centers of Wisconsin, SC. CurrentSince Jul 29, 2024 Accepting new patients
Watertown Physician Practices LLC Physician Assistant CurrentSince Aug 31, 2020 Accepting new patients
Edgerton Hospital and Health Services Inc. CurrentSince Oct 1, 2025 Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

11101 N Sherman Rd
Edgerton, WI 53534
Phone (608) 884-1695

2501 W Beltline Hwy
Ste 601
Madison, WI 53713
Phone (608) 234-7436

123 Hospital Dr
Ste 1008
Watertown, WI 53098
Phone (920) 206-6500

1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111

123 Hospital Dr
Watertown, WI 53098
Phone (920) 262-4412

Interoperability endpoints

  • Direct secure messaging: elizabeth.gilson.1@22724.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1669007357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231266",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HOSPITAL DR STE 1008",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983320",
            "telephone_number": "920-206-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537052221",
            "country_code": "US",
            "telephone_number": "680-263-5620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 W Beltline Hwy Ste 601",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537132309",
            "country_code": "US",
            "telephone_number": "608-234-7436",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ELIZABETH",
        "middle_name": "ALICE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "5149-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10014061",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "GILSON",
            "middle_name": "ALICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Watertown, WI

Sources for this page

Verify at the official NPI Registry.