ELIZABETH NIELSEN PA-C NPI 1265685754

NPI Information

  • NPI: 1265685754
  • Provider Name: ELIZABETH NIELSEN, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5249 E TERRACE DR
    MADISON, WI
    ZIP 53718
  • Phone: (608) 265-1288

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NPI Details

Elizabeth Nielsen, PA-C is a medical physician assistant in Madison, WI with 18 years of experience. Elizabeth Nielsen, PA-C NPI is 1265685754. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5249 E TERRACE DR
MADISON, WI
ZIP 53718-339
Phone: (608) 265-1288

The NPI 1265685754 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 3/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant2358-23WISCONSINNo
2364SF0001XClinical Nurse SpecialistFamily Health2358-23WISCONSINNo
3363AM0700XPhysician AssistantMedical2358WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
161038OTHERWISCONSINDEAN HEALTH INSURANCE
21265685754MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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