MR. JUNO SONG (FNP-BC) – Nurse Practitioner, NPI 1225363682

MR. JUNO SONG (FNP-BC) is a healthcare provider. based in Champaign, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 209021590 (IL). The NPI Number for MR. JUNO SONG (FNP-BC) is 1225363682

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. JUNO SONG (FNP-BC)
NPI
1225363682
Phone
(847) 208-9410
Address
202 W Park Ave
Enumeration Date
2 October 2009
Last Update Date
31 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8887122753
Graduation Year
2018 (8 years ago)
PAC ID
1052724085
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20210111002554
Address ID
IL618012501UR611XXSTXX400
Telehealth
Yes

Contacts

Secure Messaging
Juno.song@carle.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MR. JUNO SONG (FNP-BC)

  • 202 W Park Ave

    Champaign, IL 618203929

    Phone: (847) 208-9410

    Type: Location

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    URBANA, IL 618012529

    Phone: (217) 383-3311

    Type: Location

  • Sunflower Street, Savoy, Champaign County, Illinois, 61874, United States

    SAVOY, IL 618749490

    Phone: (847) 208-9410

    Type: Mailing

  • 611 W PARK ST

    URBANA, IL 618012529

    Phone: (217) 383-3440

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-01-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210111002554INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5448$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4127$0
99214Established patient office or other outpatient visit, 30-39 minutes1917$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 61820)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

Reviews

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Frequently asked questions

What number should I use to identify MR. JUNO SONG (FNP-BC) for billing?
Administrative and clinical systems typically use NPI 1225363682 for MR. JUNO SONG (FNP-BC).
Is MR. JUNO SONG (FNP-BC)'s NPI status active today?
Active status means MR. JUNO SONG (FNP-BC)'s NPI record is not deactivated in the public file.
What does the directory say MR. JUNO SONG (FNP-BC) does?
Insurance directories may phrase it differently, but here MR. JUNO SONG (FNP-BC) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MR. JUNO SONG (FNP-BC)?
The directory associates MR. JUNO SONG (FNP-BC) with Champaign, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains MR. JUNO SONG (FNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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