Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104653997 Individual Practitioner Female Practitioner

Dr. Madeline Ellis , DNP, AG-ACNP-BC

Nurse Practitioner • Lake Forest, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Madeline Ellis, DNP, AG-ACNP-BC is a certified Nurse Practitioner practicing in Lake Forest, IL. With approximately 2 years of clinical experience since completing medical education in 2024, Dr. Ellis delivers high-quality medical care to the local community at 1000 N WESTMORELAND RD # LEVEL1.

Dr. Ellis is affiliated with Northwestern Medical Faculty Foundation and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1000 N Westmoreland Rd # Level1

Lake Forest, IL 600451658

Telephone 3126951800
Fax 8475357151

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Lake Forest, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -6.0 yrs vs City Avg
City Avg: 8.0 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
40 Specialists

Practicing in Lake Forest, IL (4929 Statewide)

Telehealth Adoption Rate
37.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ellis (2 Years) 2 Yrs
Lake Forest Specialty Average (8.0 Years) 8.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-01-16
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209030895

(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.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License IL 209030895

Definition to come...

Hospital & Practice Group Affiliations

Northwestern Medical Faculty Foundation

600 N Westmoreland Rd, Lake Forest, IL 600451659

Phone: 8475359510

Northwestern Medical Faculty Foundation

660 N Westmoreland Rd, Lake Forest, IL 600451673

Phone: 3129266146

Northwestern Medical Faculty Foundation

660 N Westmoreland Rd, Lake Forest, IL 600451659

Phone: 8472345600

Northwestern Medical Faculty Foundation

1000 N Westmoreland Rd, Lake Forest, IL 600451659

Phone: 8475358500

Northwestern Medical Faculty Foundation

1000 Westmoreland Rd, Lake Forest, IL 600451659

Phone: 8472345600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kiersten O'neill , PA-C

Physician Assistant

NPI 1003430596

Physician Assistant (Certified)

Dr. Michael Keller , MD

Internal Medicine - Pulmonary Disease

NPI 1013164086

Doctor of Medicine (M.D.)

Dr. Mariam Anis , MD

Internal Medicine - Pulmonary Disease

NPI 1013274349

Doctor of Medicine (M.D.)

Cody Kelley , PA-C

Physician Assistant

NPI 1033927462

Physician Assistant (Certified)

Dr. Catherine Gao , MD

Internal Medicine - Pulmonary Disease

NPI 1043699689

Doctor of Medicine (M.D.)

William Ahrenholz , PA

Physician Assistant

NPI 1043968001

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 16, 2025

Registered at 1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 600451658 (Tel: 3126951800)

📍
Updated Business Mailing Address January 16, 2025

Registered at 1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 600451658 (Tel: 3126951800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2024

Nurse Practitioner (License #209030895 in IL)

NPI Profile Active September 17, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2024

Registered at 1000 N WESTMORELAND RD, LAKE FOREST, IL 600451658 (Tel: 8472345600)

📍
Updated Business Mailing Address September 17, 2024

Registered at 36956 N THOROUGHBRED DR, OLD MILL CREEK, IL 600839467 (Tel: 8475131715)

👤
Provider Name / Credentials Updated September 17, 2024

Recorded as MADELINE ELLIS, DNP, AG-ACNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 17, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104653997
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2024
Last Update: January 16, 2025
Sole Proprietor: Yes

Mailing Address

1000 N Westmoreland Rd # Level1

Lake Forest, IL 600451658

Phone: 3126951800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.