NPIMap

Organization Active NPI

The Monroe Clinic, Inc.

  • Family Medicine Physician
  • Freeport, IL
National Provider Identifier
1831254036
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE MONROE CLINIC, INC.
Practice address
1301 Kiwanis Dr
Freeport, IL 61032-6907
Phone
(815) 235-1406
NPI assigned
Dec 27, 2006
Organization subpart
Yes
Parent organization
THE MONROE CLINICAs 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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1301 Kiwanis Dr
Freeport, IL 61032-6907

Mailing address

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

Other names 2

  • Monroe Clinic physician group Illinois medicare Doing business as
  • SSM HEALTH MONROE CLINIC MEDICAL GROUP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040112000130 IL Part B Supplier - Clinic/Group Practice 3072425495 Receives reassigned benefits from 65 practitioners
Practice locations: Lena, IL; Freeport, IL; Durand, IL

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
The Monroe Clinic DME

Member of 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1301 Kiwanis Dr
Freeport, IL 61032
Phone (815) 235-1406

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 77

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 77

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": "1779235200000",
    "number": "1831254036",
    "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",
            "fax_number": "608-324-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 KIWANIS DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326907",
            "telephone_number": "815-235-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MONROE CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MONROE CLINIC",
        "enumeration_date": "2006-12-27",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Clinic physician group Illinois medicare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monroe Clinic physician group Illinois medicare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SSM HEALTH MONROE CLINIC MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeport, IL

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.