Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madeline Ellis, DNP, AG-ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1104653997

Madeline Ellis, DNP, AG-ACNP-BC is a Nurse Practitioner in Lake Forest, Illinois. Qualified in 2024, 2 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

See every abbreviation used in this directory →

Practice location Address checks out

1000 N Westmoreland Rd # LEVEL1
Lake Forest, IL 60045-1658
Phone: (312) 695-1800
Fax: (847) 535-7151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209030895 (IL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 209030895 (IL)

Record details

NPI number1104653997
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , AG-ACNP-BC
Sole proprietorYes
NPI enumeratedSeptember 17, 2024
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Lake Forest