MIA MCDERMOTT
NPI 1609272533
Nurse Practitioner in Monroe, WI
About Mia Mcdermott NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIA MCDERMOTT (NPI 1609272533) is an individual nurse practitioner in Monroe, Wisconsin, licensed in Illinois (209012104) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and maintains a secondary practice location in Sterling.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mia Mcdermott 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 Reassignments
2Medicare enrollment records show Mia Mcdermott reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Monroe, WI 53566
- Reassigned Medicare billing, Wisconsin and Illinois enrollments
- Also billed through NPI 1831254036 (Illinois)
- 376 clinicians in this Medicare group
Sterling, IL 61081
- Reassigned Medicare billing, Illinois enrollment
- 356 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Monroe Clinic
Acute Care Hospitals · Monroe, WIMemorial Hospital Of Lafayette County
Critical Access Hospitals · Darlington, 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 Mia Mcdermott's NPI number?
The NPI number for Mia Mcdermott is 1609272533. It was assigned to this individual provider in the NPPES registry on November 4, 2014.
Where is Mia Mcdermott located?
Mia Mcdermott practices at 515 22nd Ave, Monroe, WI 53566. The listed phone number is (608) 324-2000.
What is Mia Mcdermott's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mia Mcdermott enrolled in Medicare?
Yes. Mia Mcdermott 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 organizations bill Medicare for Mia Mcdermott's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mia Mcdermott reassigns Medicare benefits to 2 organizations: The Monroe Clinic, Inc. (Monroe, WI) and Cgh Medical Center (Sterling, IL). Each 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 Mia Mcdermott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mia Mcdermott accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Quartz list Mia Mcdermott 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 Mia Mcdermott affiliated with any hospitals?
According to CMS data, Mia Mcdermott is affiliated with The Monroe Clinic and Memorial Hospital Of Lafayette County.
When was this NPI record last updated?
The NPPES record for Mia Mcdermott was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.