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

Tim Ellestad

Individual provider Case Manager/Care Coordinator · NPI 1225916091

Tim Ellestad is a Case Manager/Care Coordinator in Madison, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

702 W Main St
Madison, WI 53715-1424
Phone: (608) 280-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1225916091
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2025
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing address25 Kessel Ct Ste 105, Madison, WI 53711-6227

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