DR. RICHARD NYE D.O.
NPI 1174214555
Family Medicine in Monroe, WI
About Dr. Richard Nye D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RICHARD NYE D.O. (NPI 1174214555) is an individual family medicine provider in Monroe, Wisconsin, licensed in Wisconsin (81826) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and is a graduate of Liberty Univ College Of Osteopathic Medicine (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Richard Nye D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Richard Nye reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Monroe, WI 53566
- Reassigned Medicare billing, Wisconsin enrollment
- 376 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Monroe Clinic
Acute Care Hospitals · Monroe, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53566 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Richard Nye's NPI number?
The NPI number for Richard Nye is 1174214555. It was assigned to this individual provider in the NPPES registry on May 17, 2023.
Where is Richard Nye located?
Richard Nye practices at 515 22nd Ave, Monroe, WI 53566. The listed phone number is (608) 324-1424.
What is Richard Nye's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Richard Nye enrolled in Medicare?
Yes. Richard Nye is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Richard Nye's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Nye reassigns Medicare benefits to The Monroe Clinic, Inc. (Monroe, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Nye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Nye accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Quartz list Richard Nye as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Richard Nye affiliated with any hospitals?
According to CMS data, Richard Nye is affiliated with The Monroe Clinic.
When was this NPI record last updated?
The NPPES record for Richard Nye was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Richard Nye, D.O. · NPI 1174214555
Family Medicine physician in Monroe, Wisconsin. Individual provider, active in the CMS NPPES registry since May 17, 2023.
## Identity
- **NPI:** 1174214555 (Entity type: Individual)
- **Enumerated:** May 17, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 81826 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 515 22ND AVE, Monroe, WI 53566-1569
- **Phone:** (608) 324-1424
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Monroe Clinic, Inc. (NPI 1386720548, Monroe, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Liberty Univ College Of Osteopathic Medicine, class of 2023
## Record status
- **NPPES last updated:** July 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174214555) · Data from the CMS NPPES public registry.