Individual ProviderLindsay EllweinNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2801 W Kinnickinnic River Pkwy, Suite 525, Milwaukee, WI 53215-3669(414) 649-3920(414) 389-2233PECOS EnrollmentBased on the most recent information from CMS, provider Lindsay Ellwein is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1356716062Provider TypeIndividualFull NameEllwein, LindsayCredentialAGACNPGenderFemaleSole ProprietorNoEnumeration Date12/7/2015Last Updated12/3/2021Contact InformationPractice LocationPractice Address2801 W Kinnickinnic River Pkwy, Suite 525, Milwaukee, WI 53215-3669Phone(414) 649-3920FaxUnlisted FaxMailing LocationMailing Address3301 W Forest Home Ave Ste 525, Milwaukee, WI 53215-2843Phone(414) 389-2233FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense6728WisconsinProvider IdentifiersIDDescriptionIssuerID100052247DescriptionMedicaidIssuerUnlistedWisconsin