ELIZABETH J WILEY (FNP) – Family Nurse Practitioner, NPI 1194797712

ELIZABETH J WILEY (FNP) is a healthcare provider. based in Greenville, Texas. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 660449 (TX). The NPI Number for ELIZABETH J WILEY (FNP) is 1194797712

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH J WILEY (FNP)
NPI
1194797712
Phone
(903) 454-8111
Address
4101 WESLEY ST STE C
Enumeration Date
7 February 2006
Last Update Date
3 March 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9034081470
Graduation Year
2004 (22 years ago)
PAC ID
1456385202
Group Practice PAC ID
7517023369
Professional Enrollment ID
I20050921001051
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ELIZABETH J WILEY (FNP)

  • Wesley Street, Greenville, Hunt County, Texas, 75401, United States

    GREENVILLE, TX 754015635

    Phone: (903) 454-8111

    Fax: (903) 454-1680

    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.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-09-21

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
I20050921001051INurse PractitionerTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 75401)

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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: 7517023369View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to ELIZABETH J WILEY (FNP)?
NPI 1194797712 is assigned to ELIZABETH J WILEY (FNP) under the national enumeration system.
Is ELIZABETH J WILEY (FNP)'s NPI currently valid?
The extract we use shows ELIZABETH J WILEY (FNP) as active.
Can you summarize ELIZABETH J WILEY (FNP)'s specialty in plain language?
Clinically, the directory lists ELIZABETH J WILEY (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for ELIZABETH J WILEY (FNP)?
The page summarizes Greenville, Texas for ELIZABETH J WILEY (FNP); expand the address list for detail.
What if Greenville, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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