Madilyn Elizabeth Lively, FNP is a
Nurse Practitioner - School based in Nimitz, West Virginia. Madilyn Elizabeth Lively is licensed to practice in West Virginia (license number 113237) and her current practice location is
34 Harper Farm Ln, Nimitz, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 663-6760.
NPI number for Madilyn Elizabeth Lively is 1255264669 and her current mailing address is 34 Harper Farm Ln, Nimitz, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255264669.
Provider's Profile
| Full Name | Madilyn Elizabeth Lively |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - School |
|---|
| Location | 34 Harper Farm Ln, Nimitz, West Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255264669
- Provider Enumeration Date: 06/05/2026
- Last Update Date: 06/05/2026
Medical Identifiers
Medical identifiers for Madilyn Elizabeth Lively such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255264669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LS0200X | Nurse Practitioner - School | 113237 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Madilyn Elizabeth Lively is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Madilyn Elizabeth Lively, FNP 34 Harper Farm Ln, Nimitz, WV 25978-8542 Ph: (304) 663-6760 | Madilyn Elizabeth Lively, FNP 34 Harper Farm Ln, Nimitz, WV 25978-8542 Ph: (304) 663-6760 |
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