Organization Active NPI

The Monroe Clinic, Inc.

Doing business as Monroe Clinic DME Blanchardville

  • Durable Medical Equipment & Medical Supplies
  • Blanchardville, WI
National Provider Identifier
1396800595
Registry record updated Feb 23, 2022
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.
Doing business as
Monroe Clinic DME Blanchardville
SSM Health Monroe Clinic Medical Group DME Blanchardville
Practice address
309 S. Main St.
Blanchardville, WI 53516
Phone
(608) 523-4261
NPI assigned
Dec 27, 2006
Organization subpart
Yes
Parent organization
THE MONROE CLINIC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Mrs. Jane Curran-Mueli
Title
President
Phone
(608) 324-2990

Specialties & licenses 1

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

Addresses

Primary practice location

309 S. Main St.
Blanchardville, WI 53516

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
41669100MedicaidWI

Other names 2

  • Monroe Clinic DME Blanchardville Doing business as
  • SSM Health Monroe Clinic Medical Group DME Blanchardville Doing business as

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.

National Provider Directory

National Provider Directory
Part of
Mary Schoenwetter CNP

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": "1645574400000",
    "number": "1396800595",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S. MAIN ST.",
            "city": "BLANCHARDVILLE",
            "state": "WI",
            "postal_code": "53516",
            "telephone_number": "608-523-4261"
        }
    ],
    "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": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "CURRAN-MUELI",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-324-2990",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "Monroe Clinic DME Blanchardville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monroe Clinic DME Blanchardville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SSM Health Monroe Clinic Medical Group DME Blanchardville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blanchardville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.