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

Vanessa Elan, AGNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1912735051

Vanessa Elan, AGNP-BC is a Nurse Practitioner in Lynnwood, Washington. Qualified in 2020, 6 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Licensed in
WA
In the registry since
2024

Practice location Address checks out

4800 200th St SW Apt E303
Lynnwood, WA 98036-6363
Phone: (425) 921-0788
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 61562439 (WA)

Record details

NPI number1912735051
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-BC
Sole proprietorYes
NPI enumeratedJuly 22, 2024
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount