Active NPI
The Monroe Clinic, Inc.
Doing business as SSM Health Monroe Hospital
- General Acute Care Hospital
- Monroe, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- THE MONROE CLINIC, INC.
- Doing business as
- SSM Health Monroe Hospital
- Practice address
- 515 22ND Ave
Monroe, WI 53566-1569 - Phone
- (608) 324-2770
- Fax
- (608) 324-2469
- NPI assigned
- Aug 10, 2006
- Last updated
- May 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chelsea Hardacre
- Title
- President
- Phone
- (608) 324-1501
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | |||
| General Acute Care Hospital | 282N00000X | WI | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11008400 | Medicaid | WI |
Other names 1
- SSM Health Monroe Hospital
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091015000334 | WI | Part A Provider - Hospital | 3072425495 | Practice locations: Freeport, IL; New Glarus, WI; Monroe, WI; Lena, IL; Durand, IL; Brodhead, WI; Blanchardville, WI; Albany, WI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1740291491. Details of each certification follow.
Hospital certification: CCN 520028
- Legal name
- THE MONROE CLINIC, INC.
- Doing business as
- SSM HEALTH MONROE HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Feb 3, 2016
- Beds
- 100
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation
- Incorporated
- Mar 4, 1963 in WI
- Enrollment address
- 515 22ND Ave
Monroe, WI 53566-1569 - Hospital subgroups
- General
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba SSM Health Monroe Pharmacy
- Clinic Pharmacy
- Monroe, WI
- NPI 1295819019
3072425495
-
dba SSM Health At Home HomeHealth Monroe
- Home Health Agency
- Monroe, WI
- NPI 1295830628
3072425495
-
dba SSM Health Monroe Clinic Medical Group
- Specialist
- Monroe, WI
- NPI 1386720548
3072425495
-
dba SSM Health Monroe Pharmacy
- Durable Medical Equipment & Medical Supplies
- Monroe, WI
- NPI 1760565253
3072425495
-
dba Monroe Clinic physician group Illinois medicare
- Family Medicine Physician
- Freeport, IL
- NPI 1831254036
3072425495
Care Compare: Hospital
Medicare Care Compare- Listed as
- The Monroe Clinic
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Rocco J Fiordelisi MD
Other organizations with this tax ID 21
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nurse Practitioner
- Janesville, WI
- NPI 1275947137
-
- Clinical Medical Laboratory
- Janesville, WI
- NPI 1285020552
-
- Certified Registered Nurse Anesthetist
- Baraboo, WI
- NPI 1336120401
-
dba SSM Health Sleep Center
- Sleep Disorder Diagnostic Clinic/Center
- Fitchburg, WI
- NPI 1528516036
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1548654676
-
- Nurse Practitioner
- Madison, WI
- NPI 1710391776
-
- General Acute Care Hospital
- Baraboo, WI
- NPI 1720472848
-
dba SSM Health St Clare Wi Dells Clinic
- Clinic/Center
- Wisconsin Dells, WI
- NPI 1730637240
-
- General Acute Care Hospital
- Madison, WI
- NPI 1902290034
-
dba SSM Health St Mary's Hospital - Madison
- Psychiatric Hospital Unit
- Madison, WI
- NPI 1386688240
-
dba St Mary's Hospital
- Non-Pharmacy Dispensing Site
- Madison, WI
- NPI 1538349824
-
dba SSM Health St. Mary's Hospital - Madison
- Land Ambulance
- Madison, WI
- NPI 1699789362
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba SSM Health St Mary's Hospital - Madison
- Psychiatric Hospital Unit
- Madison, WI
- NPI 1386688240
Member Of
Locations
214 N Schuyler St
Lena, IL 61048
Phone (815) 369-4541
700 Carolan Dr
Albany, WI 53502
Phone (608) 862-1616
3400 E Racine St
Janesville, WI 53546
Phone (608) 373-8000
100 W 8th St
Monroe, WI 53566
Phone (608) 324-1940
507 Durst Rd
New Glarus, WI 53574
Phone (608) 527-5296
Ownership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Mark Holzman | Corporate Director | Dec 13, 2023 | |
| Sue Anderson | W-2 Managing Employee | Feb 28, 2022 | |
| Wayne E Matzke | Corporate Director | May 11, 2021 | |
| Olivia Otte | Corporate Director | Dec 13, 2023 | |
| Rhea Emmer | Corporate Director | Jan 10, 2018 | |
| Patti Leitzen Fye | Corporate Director | May 1, 2015 | |
| Jennifer Maskel | Corporate Director | Jan 1, 2019 | |
| Joan a Karsten | Corporate Director | May 11, 2021 | |
| Wesley Sparkman | Corporate Director | Dec 1, 2015 | |
| Matthew Pogodzinski | Corporate Director | Nov 29, 2022 | |
| Joseph Minerath | W-2 Managing Employee | Sep 25, 2024 | |
| Matthew Kinsella | W-2 Managing Employee | Dec 15, 2025 | 1% |
| Peng Her | Corporate Director | Dec 13, 2023 | |
| SSM Health Care of Wisconsin Inc | 5% Or Greater Indirect Ownership Interest | Jan 1, 2018 | 100% |
| Operational/Managerial Control | Jan 1, 2018 | 100% | |
| Daniel Beardmore | Corporate Director | Nov 12, 2024 |
Owners & managing parties with NPI records 8
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba SSM Health St Clare Hospital-Baraboo
- General Acute Care Hospital
- Baraboo, WI
- NPI 1386641207
5% Or Greater Indirect Ownership Interest, Operational/Managerial Control
-
- Internal Medicine Physician
- Baraboo, WI
- NPI 1730160011
5% Or Greater Indirect Ownership Interest, Operational/Managerial Control
-
dba SSM Health St Mary's Hospital - Madison
- Psychiatric Hospital Unit
- Madison, WI
- NPI 1386688240
5% Or Greater Indirect Ownership Interest, Operational/Managerial Control
-
dba SSM Health St. Mary's Hospital-Madison
- General Acute Care Hospital
- Madison, WI
- NPI 1184621211
5% Or Greater Indirect Ownership Interest, Operational/Managerial Control
-
dba SSM Health St. Mary's Hospital - Janesville
- General Acute Care Hospital
- Janesville, WI
- NPI 1194004408
5% Or Greater Indirect Ownership Interest, Operational/Managerial Control
Facilities with the same owner 10
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba SSM Health at Home Home Health Fond Du Lac
- Home Health Agency
- Fond Du Lac, WI
- NPI 1861467144
SSM Health Care of Wisconsin Inc
-
dba St Agnes Hospital Hospice Hope
- Community Based Hospice Care Agency
- Fond Du Lac, WI
- NPI 1942274717
SSM Health Care of Wisconsin Inc
-
dba Home Health United Hospice
- Community Based Hospice Care Agency
- Baraboo, WI
- NPI 1306990221
SSM Health Care of Wisconsin Inc
-
dba SSM Health Ripon Community Hospital
- Critical Access Hospital
- Ripon, WI
- NPI 1053362624
SSM Health Care of Wisconsin Inc
-
- Medicare Defined Swing Bed Hospital Unit
- Ripon, WI
- NPI 1598841629
SSM Health Care of Wisconsin Inc
-
- Skilled Nursing Facility
- Fond Du Lac, WI
- NPI 1548259807
SSM Health Care of Wisconsin Inc
-
- Psychiatric Hospital Unit
- Stoughton, WI
- NPI 1437296456
SSM Health Care of Wisconsin Inc
-
- Critical Access Hospital
- Stoughton, WI
- NPI 1679558647
SSM Health Care of Wisconsin Inc
-
- Medicare Defined Swing Bed Hospital Unit
- Stoughton, WI
- NPI 1891869079
SSM Health Care of Wisconsin Inc
-
- Community Based Hospice Care Agency
- Monroe, WI
- NPI 1932204211
SSM Health Care of Wisconsin Inc
Practitioners & affiliated clinicians
Practitioners 351
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.
-
- Cardiovascular Disease Physician
- Monroe, WI
- NPI 1881615516
-
- Dermatology Physician
- Monroe, WI
- NPI 1184645616
-
- Nurse Practitioner
- Monroe, WI
- NPI 1316546724
-
- Internal Medicine Physician
- Monroe, WI
- NPI 1780605717
-
- Family Medicine Physician
- Monroe, WI
- NPI 1215185715
-
- Radiation Oncology Physician
- Madison, WI
- NPI 1366404329
-
- Emergency Medicine Physician
- Monroe, WI
- NPI 1245859297
-
- Interventional Cardiology Physician
- Madison, WI
- NPI 1730303264
-
- Interventional Cardiology Physician
- Madison, WI
- NPI 1508209354
-
- Emergency Medicine Physician
- Boscobel, WI
- NPI 1134782584
-
- Emergency Medicine Physician
- Monroe, WI
- NPI 1861122277
-
- Emergency Medicine Physician
- Monroe, WI
- NPI 1245895325
Affiliated clinicians 305
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Monroe, WI
- NPI 1144256017
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779235200000",
"number": "1740291491",
"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": "NO",
"enumeration_date": "2006-08-10",
"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"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": null,
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11008400",
"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 Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Monroe, WI
- The Monroe Clinic, Inc. (SSM Health Monroe Hospital)
- The Monroe Clinic, Inc. (SSM Health Monroe Pharmacy)
- The Monroe Clinic, Inc. (SSM Health Monroe Pharmacy)
- The Monroe Clinic, Inc. (SSM Health At Home HomeHealth Monroe)
- The Monroe Clinic, Inc. (SSM Health Monroe Clinic Medical Group)
- The Monroe Clinic, Inc. (SSM Health Monroe Pharmacy)
- The Monroe Clinic, Inc. (SSM Health Monroe Clinic Nursing Home Phcy)
- The Monroe Clinic, Inc.
- The Monroe Medical Foundation for Research and Education, Inc
- Kelly Thomas
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; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.