Individual provider Active NPI

Kaley Haarbauer, PMHNP-BC, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Pleasant, WI
National Provider Identifier
1376238139
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
18495 Issued in WI
Practice address
5600 Mount Vernon Way
Mount Pleasant, WI 53406-2767
Phone
(262) 496-1716
NPI assigned
Apr 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18495 WI Primary
Registered Nurse 163W00000X 254510 WI

Addresses

Primary practice location

5600 Mount Vernon Way
Mount Pleasant, WI 53406-2767

Mailing address

5600 Mount Vernon Way
Mount Pleasant, WI 53406-2767

Other practice location 1

5735 Durand Ave
Mount Pleasant, WI 53406-5011
Phone (262) 496-1716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
254510WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1376238139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 MOUNT VERNON WAY",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534062767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 MOUNT VERNON WAY",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534062767",
            "telephone_number": "262-496-1716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5735 Durand Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "WI",
            "postal_code": "534065011",
            "country_code": "US",
            "telephone_number": "262-496-1716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAARBAUER",
        "first_name": "KALEY",
        "credential": "PMHNP-BC, APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "18495",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "254510",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.