ELIZABETH WILSON (D.O.) – Obstetrics & Gynecology Physician, NPI 1083077507

ELIZABETH WILSON (D.O.) is a healthcare provider. based in Davie, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. DO.1832 (AL). The NPI Number for ELIZABETH WILSON (D.O.) is 1083077507

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH WILSON (D.O.)
NPI
1083077507
Phone
(954) 475-5758
Address
2546 SW 74TH TER
Enumeration Date
1 April 2016
Last Update Date
17 July 2025

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
9549740400
Graduation Year
2020 (6 years ago)
PAC ID
2365736477
Group Practice PAC ID
4486634417
Professional Enrollment ID
I20250523000800
Address ID
FL330635727MA2801XRDXX408

Contacts

Secure Messaging
elizabeth.wilson.1@1599.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness95
Years active:10State licenses:2Other names

587 OBSTETRICS/GYNECOLOGY in AL

Provider Addresses for ELIZABETH WILSON (D.O.)

  • 2546 SW 74TH TER

    DAVIE, FL 333177028

    Phone: (954) 475-5758

    Type: Mailing

  • 1725 N MCKENZIE ST

    FOLEY, AL 365352249

    Phone: (251) 943-2141

    Fax: (251) 943-2846

    Type: Location

  • 1620, McKenzie Street, Foley, Baldwin County, Alabama, 36535, United States

    FOLEY, AL 365352248

    Phone: (251) 943-2141

    Fax: (251) 943-2846

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $3,208.

Total Amount is formed as General ($3,208) + Research ($0) + Ownership ($0) = $3,208.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,073).

Total Amount

$3,208

General + Research + Ownership

Payments

11

Total payment records

General Amount

$3,208

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200720000943IObstetrics/GynecologyALTBD
I20250523000800IObstetrics/GynecologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3025$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2121$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1919$0
View full utilization report →

Insurance plans in this area (ZIP 33317)

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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: 4486634417View full group profile
NameSpecialtyState
-FL
-FL
-FL
-FL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
-SC
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I cross-check ELIZABETH WILSON (D.O.) using NPI 1083077507?
NPI 1083077507 belongs to ELIZABETH WILSON (D.O.); compare other details if you need extra assurance.
Would ELIZABETH WILSON (D.O.) appear as active to a payer?
You can treat ELIZABETH WILSON (D.O.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to ELIZABETH WILSON (D.O.)?
ELIZABETH WILSON (D.O.)'s specialty line reads Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is ELIZABETH WILSON (D.O.) located near Davie?
ELIZABETH WILSON (D.O.) currently maps to Davie, Florida in this extract.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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