Individual provider Active NPI

Lynn Alcy Van Ells, RN, MS, APNP

  • Registered Nurse
  • Madison, WI
National Provider Identifier
1073561205
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN 89130-030 Issued in WI
Practice address
15 S Meadow LN
Madison, WI 53705-5001
Phone
(608) 233-6428
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 89130-030 WI Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X APNP 1023-033 WI

Addresses

Primary practice location

15 S Meadow LN
Madison, WI 53705-5001

Mailing address

15 S Meadow LN
Madison, WI 53705-5001
Phone (608) 233-6428

Other identifiers 2

IdentifierTypeStateIssuer
39405400MedicaidWI
38333900MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 89130-030WIMDRegistered Nurse
APNP 1023-033WIMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073561205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S MEADOW LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537055001",
            "telephone_number": "608-233-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S MEADOW LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537055001",
            "telephone_number": "608-233-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ELLS",
        "first_name": "LYNN",
        "middle_name": "ALCY",
        "name_prefix": "Ms.",
        "credential": "RN, MS, APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "RN  89130-030",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "WI",
            "license": "APNP  1023-033",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39405400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38333900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.