MADELINE ELLIS DNP, AG-ACNP-BC
NPI 1104653997
Nurse Practitioner in Lake Forest, IL

Q: What is Madeline Ellis's NPI number?

The NPI number for Madeline Ellis is 1104653997. It was assigned to this individual provider in the NPPES registry on September 17, 2024.

Q: What is Madeline Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Madeline Ellis was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 17, 2024PECOS EnrolledAccepts Medicare Assignment

1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 60045(312) 695-1800(847) 535-7151 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Madeline Ellis Dnp, Ag-acnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADELINE ELLIS DNP, AG-ACNP-BC (NPI 1104653997) is an individual nurse practitioner in Lake Forest, Illinois, licensed in Illinois (209030895) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104653997

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMADELINE ELLISCredential: DNP, AG-ACNP-BC

Location Address1000 N WESTMORELAND RD # LEVEL1Lake Forest, IL 60045-1658

Mailing Address1000 N Westmoreland Rd # Level1Lake Forest, IL 60045-1658 · (312) 695-1800 · Fax (847) 535-7151

Phone(312) 695-1800

Fax(847) 535-7151

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 17, 2024

Last NPPES UpdateJanuary 16, 2025

NPPES CertifiedJanuary 16, 2025

✔ NPI 1104653997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209030895

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 209030895 (IL)

1000 N WESTMORELAND RD # LEVEL1, Lake Forest, IL 60045

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madeline Ellis Dnp, Ag-acnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183159726

PECOS Enrollment IDI20241120000462

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140130

Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County

Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL J KELLER M.D.

Internal Medicine (Pulmonary Disease)