Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. ELIZABETH WILSON MS, FNP-C
NPI 1639535495
Nurse Practitioner - Family in Portland, OR

Q: What is Elizabeth Wilson's NPI number?

The NPI number for Elizabeth Wilson is 1639535495. It was assigned to this individual provider in the NPPES registry on January 10, 2016.

Q: What is Elizabeth Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Wilson was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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 January 10, 2016PECOS Enrolled

7886 SE 13TH AVE, PORTLAND, OR 97202(503) 956-9396(503) 206-4791 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 16, 2026, Oct 9, 2026, May 2, 2021 (3 updates tracked since 2021).

On this page

About Ms. Elizabeth Wilson Ms, Fnp-c NPPES

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

MS. ELIZABETH WILSON MS, FNP-C (NPI 1639535495) is an individual family provider in Portland, Oregon, licensed in Indiana (28197879A) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Noblesville.

NPPES Registry Identity

NPI1639535495

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. ELIZABETH WILSONCredential: MS, FNP-C

Location Address7886 SE 13TH AVEPortland, OR 97202-6300

Mailing Address1195 Wayne StNoblesville, IN 46060-2134 · (503) 754-1176

Phone(503) 956-9396

Fax(503) 206-4791

Sole ProprietorYes

Enumeration DateJanuary 10, 2016

Last NPPES UpdateOctober 19, 20263 updates tracked since enumeration

NPPES CertifiedOctober 19, 2026

✔ NPI 1639535495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 28197879A

7886 SE 13TH AVE, Portland, OR 97202

Open in Google Maps ↗

Secondary Practice Location 1

Location 11195 Wayne StNoblesville, IN 46060-2134 · Phone (503) 754-1176

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Elizabeth Wilson Ms, Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MIQUELLA ALEENE YOUNG ND, LAC

Naturopath