Individual provider Active NPI

Elizabeth A. Lindner, PHD, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, WI
National Provider Identifier
1376565705
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1042-33 Issued in WI
Practice address
1250 Femrite Dr #205
Madison, WI 53716
Phone
(608) 333-9030
Fax
(608) 752-9699
NPI assigned
Jul 24, 2006
Last updated
Nov 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1042-33 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1042-33 WI Primary
Psychologist 103T00000X

Addresses

Primary practice location

1250 Femrite Dr #205
Madison, WI 53716

Mailing address

N 6326 Raven Road
Pardeeville, WI 53954
Phone (608) 333-9030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050510000306 WI Practitioner - Certified Clinical Nurse Specialist (CNS) 2567449192 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
42673WIMDFamily Medicine Physician
1042WIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation Current Accepting new patients
Mercy Health System Corporation CurrentSince Dec 8, 2016 Accepting new patients
Mercy Health System Corporation CurrentSince Dec 8, 2016 Accepting new patients
Samaritan Counseling Center Past Accepting new patients
Greenbush Oaks, Inc Past Accepting new patients
Counseling Solutions LTD Past Accepting new patients
Madison Psychotherapy Center, LLC Past Accepting new patients
Psychology Associates LLP PastSince Oct 10, 2005 Accepting new patients
Haag Mental Health Consulting, Inc. Past Accepting new patients
Samaritan Counseling Center of Southern Wisconsin Inc PastSince Apr 22, 2009 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

903 Mineral Point Ave
Janesville, WI 53548
Phone (608) 756-5555

N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1376565705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N 6326 RAVEN ROAD",
            "city": "PARDEEVILLE",
            "state": "WI",
            "postal_code": "53954",
            "telephone_number": "608-333-9030",
            "fax_number": "877-765-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 FEMRITE DR #205",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53716",
            "telephone_number": "608-333-9030",
            "fax_number": "608-752-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDNER",
        "first_name": "ELIZABETH",
        "middle_name": "A.",
        "credential": "PHD, APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1042-33",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "1042-33",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.