Madeline Ellis, DNP, AG-ACNP-BC in Lake Forest, IL

Madeline Ellis, DNP, AG-ACNP-BC is a medicare enrolled "Nurse Practitioner" in Lake Forest, Illinois. Her current practice location is 1000 N Westmoreland Rd # Level1, Lake Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 695-1800.

Madeline Ellis is licensed to practice in Illinois (license number 209030895) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104653997.

Contact Information

	Madeline Ellis, DNP, AG-ACNP-BC
	1000 N Westmoreland Rd # Level1, Lake Forest, IL 60045-1658
	(312) 695-1800
	(847) 535-7151

Map and Direction

Provider's Profile

Full Name	Madeline Ellis
Gender	Female
Speciality	Nurse Practitioner
Location	1000 N Westmoreland Rd # Level1, Lake Forest, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104653997
Provider Enumeration Date: 09/17/2024
Last Update Date: 01/16/2025

Medicare PECOS Information:

PECOS PAC ID: 4183159726
Enrollment ID: I20241120000462

Medical Identifiers

Medical identifiers for Madeline Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104653997	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	209030895 (Illinois)	Secondary
363L00000X	Nurse Practitioner	209030895 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Madeline Ellis allows following entities to bill medicare on her behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Madeline Ellis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Madeline Ellis, DNP, AG-ACNP-BC 1000 N Westmoreland Rd # Level1, Lake Forest, IL 60045-1658 Ph: (312) 695-1800	Madeline Ellis, DNP, AG-ACNP-BC 1000 N Westmoreland Rd # Level1, Lake Forest, IL 60045-1658 Ph: (312) 695-1800

Reviews and Comments

Nurse Practitioner Nurses in Lake Forest, IL

Katie L Konopacz, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 Phone: 847-535-3278
Melissa Hilb, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 N Westmoreland Rd, Suite 110, Lake Forest, IL 60045 Phone: 847-295-1220 Fax: 847-295-1255
Theresa M Wojciak, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd # Level1, Lake Forest, IL 60045 Phone: 847-535-7647 Fax: 847-535-8109
Melissa Katelyn Battista, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 N Sheridan Rd, Lake Forest, IL 60045 Phone: 847-735-5050 Fax: 847-735-6284
Armando Comas, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6150 Fax: 847-535-7801
Mr. Todd Alan Foister Jr., APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 N Westmoreland Rd # Level1, Lake Forest, IL 60045 Phone: 312-695-1800 Fax: 847-535-7151
Mrs. Cynthia H. Leaker, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 660 N Westmoreland Rd, Lake Forest Hospital Emergency Department, Lake Forest, IL 60045 Phone: 312-259-9943

Madeline Ellis, DNP, AG-ACNP-BC - Medicare Nurse Practitioner in Lake Forest, IL