ELIZABETH ARDITH WILSON (PA-C) – Physician Assistant, NPI 1780951913

ELIZABETH ARDITH WILSON (PA-C) is a healthcare provider. based in Evanston, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085-004145 (IL). The NPI Number for ELIZABETH ARDITH WILSON (PA-C) is 1780951913

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH ARDITH WILSON (PA-C)
NPI
1780951913
Phone
(847) 570-2000
Address
2650 Ridge Ave
Enumeration Date
16 November 2011
Last Update Date
14 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096630222
Graduation Year
2011 (15 years ago)
PAC ID
7719112077
Group Practice PAC ID
8921420308
Professional Enrollment ID
I20131023000945
Address ID
IL617043567BL2204XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for ELIZABETH ARDITH WILSON (PA-C)

  • 2650 Ridge Ave

    Evanston, IL 602011718

    Phone: (847) 570-2000

    Type: Location

  • 2650 RIDGE AVE

    EVANSTON, IL 602011718

    Phone:

    Type: Mailing

  • 611 W PARK

    FAPC

    URBANA, IL 61801

    Phone:

    Type: Mailing

  • 2204 EASTLAND DR

    BLOOMINGTON, IL 617043567

    Phone: (309) 661-6900

    Fax: (309) 661-6991

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $284.

Total Amount is formed as General ($284) + Research ($0) + Ownership ($0) = $284.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Lundbeck LLC ($115).

Total Amount

$284

General + Research + Ownership

Payments

6

Total payment records

General Amount

$284

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20131023000945IPhysician AssistantILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes209165$0
99213Established patient office or other outpatient visit, 20-29 minutes7566$0
99215Established patient office or other outpatient visit, 40-54 minutes7268$0
99212Established patient office or other outpatient visit, 10-19 minutes1414$0
99205New patient office or other outpatient visit, 60-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 60201)

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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: 8921420308View full group profile
NameSpecialtyState
Nurse PractitionerIL
Clinical PsychologistIL
Hospitalist, Family PracticeTX
Clinical PsychologistIL
Cardiovascular Disease (Cardiology)IL
Cardiovascular Disease (Cardiology)IL
-IL
Diagnostic RadiologyIL
Physician AssistantIL
Physician AssistantIL

Reviews

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Frequently asked questions

What NPI should I save for ELIZABETH ARDITH WILSON (PA-C)?
Save NPI 1780951913 if you need a stable reference for ELIZABETH ARDITH WILSON (PA-C).
Is ELIZABETH ARDITH WILSON (PA-C)'s NPI currently valid?
The extract we use shows ELIZABETH ARDITH WILSON (PA-C) as active.
Does ELIZABETH ARDITH WILSON (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for ELIZABETH ARDITH WILSON (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for ELIZABETH ARDITH WILSON (PA-C)?
We surface Evanston, Illinois for ELIZABETH ARDITH WILSON (PA-C) based on available NPPES addresses.
Is ELIZABETH ARDITH WILSON (PA-C) a real provider?
This page reflects official NPPES data for NPI 1780951913. Always confirm identity and privileges with the practice and licensing boards.

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