NPIMap

Organization Active NPI

The Monroe Clinic, Inc.

Doing business as SSM Health Monroe Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Monroe, WI
National Provider Identifier
1760565253
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.
Doing business as
SSM Health Monroe Pharmacy
Practice address
515 22ND Ave
Monroe, WI 53566-1569
Phone
(608) 324-2770
Fax
(608) 324-2469
NPI assigned
Oct 20, 2006
Last updated
Jun 5, 2024By 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 Jun 5, 2024

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

Authorized official

Name
Ms. Jane W Curran-Mueli
Title
President
Phone
(608) 324-2625

Specialties & licenses 1

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

IdentifierTypeStateIssuer
33175600MedicaidWI

Other names 2

  • SSM Health Monroe Pharmacy Doing business as
  • Monroe Clinic Pharmcy DME Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080422000708 WI Part B Supplier - Mass Immunization (Roster Biller Only) 3072425495 4 other NPIs on this enrollment
Practice locations: Monroe, WI
O20100930016425 WI DME Supplier - Multi-Specialty - Physician 3072425495 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Monroe, WI

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 5

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

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

7153 Solutions Ctr
Chicago, IL 60677

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1760565253",
    "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": "2006-10-20",
        "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_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-324-2625",
        "authorized_official_name_prefix": "Ms."
    },
    "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": "33175600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health Monroe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monroe Clinic Pharmcy DME",
            "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 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.