Madeline Ellis, DNP, AG-ACNP-BC
NPI 1104653997ActiveIndividual· Nurse Practitioner· Lake Forest, IL
Nurse Practitioner (DNP, AG-ACNP-BC) with Northwestern Medical Faculty Foundation, practicing in Lake Forest, Illinois. Enrolled in Medicare as practitioner - nurse practitioner. La Jolla Pharmaceutical Company reported $14.95 in payments in 2025, mostly food and beverage. Lists Northwestern Lake Forest Hospital as a hospital affiliation.
Overview
| NPI | 1104653997 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DNP, AG-ACNP-BC |
| Sole proprietor | Yes |
| NPI issued | Sep 17, 2024 |
| Last updated in NPPES | Jan 16, 2025 |
| Certified by provider | Jan 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209030895 | IL |
| Nurse Practitioner, Acute Care | 363LA2100X | 209030895 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Northwestern Medical Faculty FoundationChicago, IL · 4,503 clinicians
Hospital affiliation
- Northwestern Lake Forest HospitalLake Forest, IL
Industry payments (Open Payments)
- 2025$14.95 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| La Jolla Pharmaceutical Company | $14.95 | 1 |
What the 2025 payments were for
- Food and Beverage$14.95 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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