MEDICARE: MS. LYNN ALCY VAN ELLS RN, MS, APNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN 89130-030	WI
2	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	APNP 1023-033	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073561205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LYNN ALCY VAN ELLS RN, MS, APNP

Provider Business Mailing Address
First Line	:	15 S MEADOW LN
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53705-5001
Country	:	US
Telephone Number	:	608-233-6428
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 S MEADOW LN
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53705-5001
Country	:	US
Telephone Number	:	608-233-6428
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	09/11/2025

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