Organization Active NPI

The Monroe Clinic, Inc.

Doing business as SSM Health Monroe Clinic Medical Group

  • Specialist
  • Monroe, WI
National Provider Identifier
1386720548
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
THE MONROE CLINIC, INC.
Doing business as
SSM Health Monroe Clinic Medical Group
Practice address
515 22ND Ave
Monroe, WI 53566-1569
Phone
(608) 324-2770
Fax
(608) 324-2469
NPI assigned
Oct 31, 2006
Last updated
May 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
THE MONROE CLINIC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Mrs. Chelsea Hardacre
Title
President
Phone
(608) 324-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

515 22ND Ave
Monroe, WI 53566-1569

Mailing address

515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-2000

Other identifiers 1

IdentifierTypeStateIssuer
32803900MedicaidWI

Other names 2

  • SSM HEALTH MONROE CLINIC MEDICAL GROUP Doing business as
  • Monroe Clnic Physician group Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031104000392 WI Part B Supplier - Clinic/Group Practice 3072425495 Receives reassigned benefits from 387 practitioners
Practice locations: Brodhead, WI; Stoughton, WI; New Glarus, WI; Monroe, WI; Janesville, WI; Blanchardville, WI; Albany, WI

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Administar DME

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2009 5th St
Monroe, WI 53566
Phone (608) 324-1454

515 22nd Ave
#3025
Monroe, WI 53566

Practitioners & affiliated clinicians

Practitioners 400

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 400

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1386720548",
    "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": "608-324-2000",
            "fax_number": "608-324-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MONROE CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MONROE CLINIC, INC.",
        "enumeration_date": "2006-10-31",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "HARDACRE",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-324-1501",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32803900",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SSM HEALTH MONROE CLINIC MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monroe Clnic Physician group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Monroe Clnic Physician group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.