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

MS. Simona A Ilizarov, PA-C

Individual provider Physician Assistant · NPI 1265164669

MS. Simona A Ilizarov, PA-C is a Physician Assistant in Raleigh, North Carolina. Graduated from Univeristy of Texas Rio Grande Valley Med School in 2022, 4 years ago. Practices with Wakemed Specialists Group LLC, a 869-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Trained at
Univeristy of Texas Rio Grande Valley Med School
Licensed in
NC
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3024 New Bern Ave Ste 101
Raleigh, NC 27610-1247
Phone: (919) 350-5318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-14304 (NC)

Record details

NPI number1265164669
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 26, 2022
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERISTY OF TEXAS RIO GRANDE VALLEY MED SCHOOL
Graduated 2022 (4 years in practice)
Group practice Wakemed Specialists Group Llc — 869 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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