ELIZABETH NICOLE WILSON NP
NPI 1306421128
Nurse Practitioner - Family in San Diego, CA
About Elizabeth Nicole Wilson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH NICOLE WILSON NP (NPI 1306421128) is an individual family provider in San Diego, California, licensed in California (95026691) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Elizabeth Nicole Wilson Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92130
SAN DIEGO, CA 92130
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elizabeth Wilson's NPI number?
The NPI number for Elizabeth Wilson is 1306421128. It was assigned to this individual provider in the NPPES registry on March 12, 2021.
Where is Elizabeth Wilson located?
Elizabeth Wilson practices at 12395 El Camino Real Ste 209, San Diego, CA 92130. The listed phone number is (858) 224-1866.
What is Elizabeth Wilson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Elizabeth Wilson enrolled in Medicare?
Yes. Elizabeth Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Elizabeth Wilson was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Elizabeth Nicole Wilson, NP · NPI 1306421128
Family physician in San Diego, California. Individual provider, active in the CMS NPPES registry since March 12, 2021.
## Identity
- **NPI:** 1306421128 (Entity type: Individual)
- **Enumerated:** March 12, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95026691 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12395 EL CAMINO REAL STE 209, San Diego, CA 92130-3084
- **Phone:** (858) 224-1866
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1306421128) · Data from the CMS NPPES public registry.