Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LYNELLE A FOSSUM ARNP
NPI 1205985587
Nurse Practitioner - Family in Oakley, KS

Q: What is Lynelle Fossum's NPI number?

The NPI number for Lynelle Fossum is 1205985587. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Q: What is Lynelle Fossum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lynelle Fossum was last updated on October 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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 January 09, 2007

212 MAPLE AVE, OAKLEY, KS 67748(785) 672-3261(785) 672-8194 Get Directions Write a Review

NPPES record last updated: October 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 18, 2026, Feb 22, 2016 (2 updates tracked since 2016).

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About Lynelle A Fossum Arnp NPPES

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

LYNELLE A FOSSUM ARNP (NPI 1205985587) is an individual family provider in Oakley, Kansas, licensed in Kansas (45996) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1205985587

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLYNELLE A FOSSUMCredential: ARNP

Location Address212 MAPLE AVEOakley, KS 67748-1220

Mailing Address212 Maple AveOakley, KS 67748-1220 · (785) 672-3261 · Fax (785) 672-8194

Phone(785) 672-3261

Fax(785) 672-8194

Sole ProprietorNo

Enumeration DateJanuary 9, 2007

Last NPPES UpdateOctober 18, 20262 updates tracked since enumeration

✔ NPI 1205985587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KS · 45996

212 MAPLE AVE, Oakley, KS 67748

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Other Identifiers 3

Other16261KS · Preferred Health Systems

Medicaid200420290DKS

Medicaid100099230FKS

Other Providers at the Same Location NPPES 12

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

MRS. CELESTE J RAINS DO

Family Medicine