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MR. RICHARD L. MCLAUGHLIN NP
NPI 1861552481
Nurse Practitioner in Monroe, WI

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
515 22ND AVE, MONROE, WI 53566(608) 324-2000 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2021, Jan 18, 2021, May 10, 2016 (3 updates tracked since 2016).

About Mr. Richard L. Mclaughlin Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RICHARD L. MCLAUGHLIN NP (NPI 1861552481) is an individual nurse practitioner in Monroe, Wisconsin, licensed in Illinois (209003091) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and maintains a secondary practice location in Rockford.

NPPES Registry Identity

NPI1861552481
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. RICHARD L. MCLAUGHLINCredential: NP
Location Address515 22ND AVEMonroe, WI 53566-1569
Mailing Address1235 North Mulford Road, Suite 103Rockford, IL 61107-3879 · (815) 636-0700 · Fax (815) 904-6033
Phone(608) 324-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 12, 2006
Last NPPES UpdateMarch 22, 20213 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
✔ NPI 1861552481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in IL · 209003091✔ Licensed in IL · 041-258740
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
515 22ND AVE, Monroe, WI 53566
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Secondary Practice Location 1

Location 11235 North Mulford Road, Suite 103Rockford, IL 61107-3879 · Phone (815) 636-0700 · Fax (815) 904-6033

Other Identifiers 1

MedicaidNON-PARTICIPATINGIL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Richard L. Mclaughlin Np 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.

PECOS PAC ID3375439961
PECOS Enrollment IDI20110610000501
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
245 services124 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
95 services92 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
57 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
43 services43 patients

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, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520028
Location515 22nd AveMonroe, WI 53566 · Green County
Emergency services Birthing friendly

Physician 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.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$16.33 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$95.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NICOLE LYN CARRICO PHARM.D.
Pharmacist (Pharmacotherapy)
515 22ND AVE
MONROE, WI 53566
Green County (608) 324-1242
SUZANNE MARIE CURTISS FNP-BC
Nurse Practitioner (Family)
515 22ND AVE
MONROE, WI 53566
Green County (608) 324-2600
DR. MATTHEW M MICHALSKI MD
Emergency Medicine
515 22ND AVE
MONROE, WI 53566
Green County (608) 324-2000
ANNA METZ PHARM.D.
Pharmacist
515 22ND AVE
MONROE, WI 53566
Green County (608) 324-1242
MICHAEL ROESCH
Family Medicine
515 22ND AVE
MONROE, WI 53566
Green County (608) 324-2000
LINDSEY HOULE DNP, PMHNP-BC
Nurse Practitioner
515 22ND AVE
MONROE, WI 53566
Green County (608) 324-2000
MOHAMMAD SALEEM
Internal Medicine (Cardiovascular Disease)
515 22ND AVE
MONROE, WI 53566
Green County (608) 324-2000
NATALIE L. SEIBERT P.A.
Physician Assistant
515 22ND AVE, MONROE CLINIC
MONROE, WI 53566
Green County (608) 324-2222

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 Mclaughlin's NPI number?

The NPI number for Richard Mclaughlin is 1861552481. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Richard Mclaughlin located?

Richard Mclaughlin practices at 515 22nd Ave, Monroe, WI 53566. The listed phone number is (608) 324-2000.

What is Richard Mclaughlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Richard Mclaughlin enrolled in Medicare?

Yes. Richard Mclaughlin 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.

Is Richard Mclaughlin affiliated with any hospitals?

According to CMS data, Richard Mclaughlin is affiliated with The Monroe Clinic.

When was this NPI record last updated?

The NPPES record for Richard Mclaughlin was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.