Susan Corene Elliott, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

22726-031 Issued in WI

Practice address

4350 Mariners Cir
Oconomowoc, WI 53066-4565

Phone

(262) 567-7735

NPI assigned

Apr 11, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679536395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 MARINERS CIR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664565",
            "telephone_number": "262-567-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 MARINERS CIR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664565",
            "telephone_number": "262-567-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "SUSAN",
        "middle_name": "CORENE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "22726-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edp of Wisconsin, SC (Drs. Leaman, Setnicar & Piacsek)
• Angela Eggleston, PHARMD
• Howard V. Elconin, M.D.
• Shayla Ellingboe
• Eric M Elliot, DMSC, PA-C
• Mary Katherine Ellis, MD
• Embrace Life Trauma Institute
• Colleen Englebert, R.PH.
• Karrie Lynn Erdman, OTR
• Rochelle Lois Ervin, LCSW

• Licensed Practical Nurse in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.