Organization Active NPI

The Monroe Clinic, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Brodhead, WI
National Provider Identifier
1053476192
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
3771-042 Issued in WI
Legal business name
THE MONROE CLINIC, INC.
Practice address
1904 1St Center Ave
Brodhead, WI 53520-1900
Phone
(608) 897-2191
NPI assigned
Dec 27, 2006
Organization subpart
Yes
Parent organization
THE MONROE CLINIC, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Jane Curran-Mueli
Title
President
Phone
(608) 324-1454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 3771-042 WI Primary

Addresses

Primary practice location

1904 1St Center Ave
Brodhead, WI 53520-1900

Mailing address

515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-2770

Other identifiers 1

IdentifierTypeStateIssuer
41669100MedicaidWI

Other names 2

  • SSM Health Monroe Medical Group Doing business as
  • Monroe Clinic DME Brodhead Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080422000708 WI Part B Supplier - Mass Immunization (Roster Biller Only) 3072425495 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Monroe, WI

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0393034SSM Health Monroe Clinic Medical Group1904 First Center Ave, Brodhead, WI 53520Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory
Part of
The Monroe Clinic DME

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1053476192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 22ND AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661569",
            "telephone_number": "608-324-2770",
            "fax_number": "608-324-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 1ST CENTER AVE",
            "city": "BRODHEAD",
            "state": "WI",
            "postal_code": "535201900",
            "telephone_number": "608-897-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MONROE CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MONROE CLINIC, INC",
        "enumeration_date": "2006-12-27",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "CURRAN-MUELI",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-324-1454"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "3771-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41669100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health Monroe Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SSM Health Monroe Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monroe Clinic DME Brodhead",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brodhead, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.