ELIZABETH YVONNE WILEY DO
NPI 1629820097
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Q: What is Elizabeth Wiley's NPI number?

The NPI number for Elizabeth Wiley is 1629820097. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Q: What is Elizabeth Wiley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Wiley was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since April 01, 2024PECOS Enrolled

1000 BLYTHE BLVD FL 4, CHARLOTTE, NC 28203(704) 381-6800(704) 381-6841 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2024, Apr 4, 2024 (2 updates tracked since 2024).

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About Elizabeth Yvonne Wiley Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH YVONNE WILEY DO (NPI 1629820097) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629820097

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameELIZABETH YVONNE WILEYCredential: DO

Location Address1000 BLYTHE BLVD FL 4Charlotte, NC 28203-5812

Mailing Address1417 Pecan AveCharlotte, NC 28205-3413 · (325) 280-3237

Phone(704) 381-6800

Fax(704) 381-6841

Sole ProprietorNo

Enumeration DateApril 1, 2024

Last NPPES UpdateJune 19, 20242 updates tracked since enumeration

NPPES CertifiedJune 19, 2024

✔ NPI 1629820097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1000 BLYTHE BLVD FL 4, Charlotte, NC 28203

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Yvonne Wiley Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARYBETH ARCEO BURRISS-WEST

Pediatrics (Pediatric Critical Care Medicine)