Individual provider Active NPI

Morgan Lynn Elsasser

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1588301477
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11947-33 Issued in WI
Practice address
500 W Monroe St Ste 28
Chicago, IL 60661-3777
Phone
(877) 751-5783
NPI assigned
May 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11947-33 WI Primary

Addresses

Primary practice location

500 W Monroe St Ste 28
Chicago, IL 60661-3777

Mailing address

805 1St Center Ave
Brodhead, WI 53520-1303
Phone (815) 291-8273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220618000183 WI Practitioner - Nurse Practitioner 6608255823 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11947WIMDAddiction (Substance Use Disorder) Counselor
11947-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Monroe Clinic, Inc. CurrentSince Jan 6, 2023 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Jan 6, 2023 Accepting new patients
Integrated Wound Care Management Wisconsin LLC CurrentSince May 10, 2022 Accepting new patients

Locations

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

100 W 8th St
Monroe, WI 53566
Phone (608) 324-1940

Interoperability endpoints

  • Direct secure messaging: melsasser441515@direct-ehr-ssmhc.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1588301477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 1ST CENTER AVE",
            "city": "BRODHEAD",
            "state": "WI",
            "postal_code": "535201303",
            "telephone_number": "815-291-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MONROE ST STE 28",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606613777",
            "telephone_number": "877-751-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSASSER",
        "first_name": "MORGAN",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "11947-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.