Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth Ardith Wilson, PA-C

Individual provider Medical Physician Assistant · NPI 1780951913

Elizabeth Ardith Wilson, PA-C is a Physician Assistant in Bloomington, Illinois. Qualified in 2011, 15 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2204 Eastland Dr
Bloomington, IL 61704-3567
Phone: (309) 661-6900
Fax: (309) 661-6991
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2650 Ridge Ave, Evanston, IL 60201-1718 — (847) 570-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085004145 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085-004145 (IL)

Record details

NPI number1780951913
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 16, 2011
Last updated in NPPESMarch 14, 2025
Certification dateMarch 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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