Active NPI 1780951913 Individual Practitioner Female Practitioner

Elizabeth Ardith Wilson , PA-C

Physician Assistant • Bloomington, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Elizabeth Wilson, PA-C is a certified Physician Assistant practicing in Bloomington, IL. With approximately 15 years of clinical experience since completing medical education in 2011, Elizabeth Wilson delivers high-quality medical care to the local community at 2204 EASTLAND DR.

Elizabeth Wilson maintains professional affiliations with Carle West Physician Group Inc, Carle Health Care Incorporated and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service;. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2204 Eastland Dr

Bloomington, IL 617043567

Telephone 3096616900

Fax 3096616991

Associated Practice Facility / Clinic

🏢 Mclean County Neurology Sc Facility NPI 1760431712

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bloomington, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +3.9 yrs vs City Avg

City Avg: 11.1 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

38 Specialists

Practicing in Bloomington, IL (4958 Statewide)

Telehealth Adoption Rate

7.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (15 Years) 15 Yrs

Bloomington Specialty Average (11.1 Years) 11.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	130	$301.50	$97.89
99213 Established patient office or other outpatient visit, typically 15 minutes	77	74	$198.51	$66.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	51	$125.20	$38.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	37	$393.05	$136.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$605.71	$179.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$468.42	$129.08
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	14	13	$88.93	$26.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	209	165	$305.00	$105.82
99213 Established patient office or other outpatient visit, typically 15 minutes	75	66	$205.00	$74.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	72	68	$396.60	$149.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$130.00	$46.64
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$585.45	$183.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	148	$295.00	$104.75
99213 Established patient office or other outpatient visit, typically 15 minutes	84	72	$200.00	$75.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	23	$389.78	$143.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	137	111	$190.00	$75.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	79	$280.00	$105.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	43	$120.00	$46.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$424.23	$140.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$378.75	$150.99
99441 Telephone medical discussion with physician, 5-10 minutes	12	11	$52.00	$46.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	82	$251.19	$90.22
99213 Established patient office or other outpatient visit, typically 15 minutes	89	79	$169.22	$61.83
99442 Telephone medical discussion with physician, 11-20 minutes	31	27	$84.45	$62.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	27	$106.81	$37.51
99441 Telephone medical discussion with physician, 5-10 minutes	25	24	$45.72	$36.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$330.50	$121.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	187	154	$146.00	$61.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	114	$213.00	$88.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	41	$102.00	$37.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$341.00	$137.26
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$427.00	$166.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$301.00	$121.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	175	133	$140.51	$60.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	116	$203.72	$87.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$205.47	$87.51
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$147.75	$61.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$412.25	$172.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$285.69	$120.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$324.33	$136.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	121	$189.00	$87.72
99213 Established patient office or other outpatient visit, typically 15 minutes	154	116	$134.00	$59.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	27	$252.00	$116.07
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$368.00	$164.53

Medical Specialties & State Licenses

CMS Verified: 2025-03-11

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085004145

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License IL 085-004145

Definition to come...

Hospital & Practice Group Affiliations

Carle West Physician Group Inc

2204 Eastland Dr, Bloomington, IL 617043567

Phone: 3096630222

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Phone: 8887122753

Carle Health Care Incorporated

2204 Eastland Dr, Bloomington, IL 617043567

Phone: 3096630222

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Secondary Practice Locations

2650 Ridge Ave

Evanston, IL 602011718

Phone: 8475702000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Edward Pegg , MD

Psychiatry & Neurology - Neurology

NPI 1043392160

Doctor of Medicine (M.D.)

Dr. Edward Pegg , MD

Psychiatry & Neurology - Neurology

NPI 1215273131

Doctor of Medicine (M.D.)

Dr. Brittany Bolt , DO PHD

Psychiatry & Neurology - Neurocritical Care

NPI 1477048932

DOPHD

Munib Mafazy , APRN

Nurse Practitioner - Family

NPI 1588859169

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location March 14, 2025

Registered at 2204 EASTLAND DR, BLOOMINGTON, IL 617043567 (Tel: 3096616900)

📍

Updated Business Mailing Address March 14, 2025

Registered at 611 W PARK, FAPC, URBANA, IL 61801

✅

NPI Profile Active November 16, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 16, 2011

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011718 (Tel: 8475702000)

📍

Updated Business Mailing Address November 16, 2011

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011718

👤

Provider Name / Credentials Updated November 16, 2011

Recorded as ELIZABETH WILSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2011

Physician Assistant (License #085-004145 in IL)

🟢

Initial NPI Registration & Enumeration November 16, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780951913

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 16, 2011

Last Update: March 14, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

611 W Park, Fapc

Urbana, IL 61801

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.