ELIZABETH WILSON (MD) – Specialist, NPI 1992791487

ELIZABETH WILSON (MD) is a healthcare provider. based in East hartford, Connecticut. specializing in Specialist. They hold the professional credentials MD. They hold a License No. 55002 (MA). The NPI Number for ELIZABETH WILSON (MD) is 1992791487

Main info

Female
45 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH WILSON (MD)
NPI
1992791487
Phone
(860) 289-3375
Address
111 FOUNDERS PLZ STE 400
Enumeration Date
21 September 2005
Last Update Date
17 April 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
7742609300
Graduation Year
1981 (45 years ago)
PAC ID
4385691484
Group Practice PAC ID
2860688728
Professional Enrollment ID
I20050331000947
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for ELIZABETH WILSON (MD)

  • 111 FOUNDERS PLZ STE 400

    EAST HARTFORD, CT 061083240

    Phone: (860) 289-3375

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06108)

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Provider's Procedures

ELIZABETH WILSON (MD) performs procedures in Specialist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMA74177CT scan of abdomen and pelvis with contrast3633
DIAGNOSTIC RADIOLOGYMA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1919

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860688728View full group profile
NameSpecialtyState
MRS. PATRICIA NOREEN FINNERAN (NP-C)
-MA
DR. RIBHU TUSHAR JHA (MD)
N E U R O S U R G E R YFL
HEIDI SUSAN BEE (DO)
-PA
DR. SHRUTI SATYANARAYAN BIYANI (MD)
O B S T E T R I C S/ G Y N E C O L O G YMA
DR. PRABHU SUDANTIRARAJ RAM (M.D)
Internal MedicineMA
LARAE TYMOCHKO (PA-C)
-PA
DAVID RANDALL HOFIUS (D.O.)
General SurgeryPA
TONIA L SKAKALSKI (D.O.)
-PA
JANE G BUTLIN (MD)
-MA
DR. PEGGY MENTOR (MD)
-MA

Reviews

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Frequently asked questions

Can I verify ELIZABETH WILSON (MD) with an NPI only?
You can start verification with NPI 1992791487 for ELIZABETH WILSON (MD), then check state licensing separately.
Can I rely on ELIZABETH WILSON (MD) being an active provider?
As of the registry snapshot, ELIZABETH WILSON (MD) is marked active.
What healthcare role does ELIZABETH WILSON (MD) hold?
Scheduling teams often label ELIZABETH WILSON (MD) under Other Service Providers. Clinical services aligned with this taxonomy classification.
Where is ELIZABETH WILSON (MD) based?
ELIZABETH WILSON (MD) is tied to East Hartford, Connecticut in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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