Individual provider Active NPI

Haley Erin Junge, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Belleville, IL
National Provider Identifier
1295577856
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.032719 Issued in IL
Practice address
12 N 64TH St
Belleville, IL 62223-3809
Phone
(618) 877-4420
Fax
(618) 512-1920
NPI assigned
Jun 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041517819 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.032719 IL Primary

Addresses

Primary practice location

12 N 64TH St
Belleville, IL 62223-3809

Mailing address

319 Derrick Dr
O Fallon, IL 62269-1097
Phone (618) 578-0343

Other practice location 1

319 Derrick Dr
O Fallon, IL 62269-1097
Phone (618) 578-0343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250821000889 IL Practitioner - Nurse Practitioner 3476053810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other
Medicare assignment
May accept Medicare assignment
Group practices
Chestnut Health Systems IncGroup PAC ID 1052393063, 31 clinicians

Practice addresses (Care Compare)

12 N 64TH St
Belleville, IL 62223-3809
Phone (618) 397-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041517819ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Health Systems Inc. CurrentSince Jul 24, 2025 Accepting new patients
Chestnut Health Systems Inc Current Accepting new patients

Locations

12 N 64th St
Belleville, IL 62223
Phone (618) 397-0900

1003 Martin Luther King Dr
Bloomington, IL 61701
Phone (309) 827-6026

720 W Chestnut St
Bloomington, IL 61701
Phone (309) 557-1400

50 Northgate Industrial Dr
Granite City, IL 62040
Phone (618) 512-1919

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1295577856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 DERRICK DR",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691097",
            "telephone_number": "618-578-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N 64TH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233809",
            "telephone_number": "618-877-4420",
            "fax_number": "618-512-1920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 Derrick Dr",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622691097",
            "country_code": "US",
            "telephone_number": "618-578-0343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNGE",
        "first_name": "HALEY",
        "middle_name": "ERIN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041517819",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.032719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.