ELIZABETH WILSON CRNP
NPI 1902747975
Nurse Practitioner - Family in Philadelphia, PA
About Elizabeth Wilson Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH WILSON CRNP (NPI 1902747975) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP035331) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 Wilson Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19107 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
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 1902747975. It was assigned to this individual provider in the NPPES registry on April 3, 2026.
Where is Elizabeth Wilson located?
Elizabeth Wilson practices at 111 S 11th St, Philadelphia, PA 19107. The listed phone number is (215) 955-6000.
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 enrollment system.
When was this NPI record last updated?
The NPPES record for Elizabeth Wilson was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Wilson, CRNP · NPI 1902747975
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 3, 2026.
## Identity
- **NPI:** 1902747975 (Entity type: Individual)
- **Enumerated:** April 3, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP035331 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 S 11TH ST, Philadelphia, PA 19107-4870
- **Phone:** (215) 955-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1902747975) · Data from the CMS NPPES public registry.