Individual provider Active NPI

Michelle Victoria Haywood, FNP-BC

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1255947388
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R208980 Issued in MD
Practice address
3910 5TH St
Baltimore, MD 21225-2036
Phone
(443) 726-3448
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R208980 MD Primary

Addresses

Primary practice location

3910 5TH St
Baltimore, MD 21225-2036

Mailing address

PO Box 3004
Baltimore, MD 21229-0004
Phone (443) 726-3448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230421002577 MD Practitioner - Nurse Practitioner 9931564143 Reassigns benefits to 2 organizations
I20250624003516 DC Practitioner - Nurse Practitioner 9931564143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amber Health Care, LLCGroup PAC ID 0941795074, 3 clinicians

Practice addresses (Care Compare)

631 Cherry Hill Rd
Suite 101
Baltimore, MD 21225-1228
Phone (443) 334-8825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R208980MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amber Health Care LLC Family CurrentSince Nov 3, 2025 Accepting new patients
Sanjay Prasad MD PA Family CurrentSince Jun 1, 2025 Accepting new patients
Haywood Medical, LLC CurrentSince Sep 23, 2021 Accepting new patients

Locations

631 Cherry Hill Rd
Ste 101
Brooklyn, MD 21225
Phone (443) 334-8825

15005 Shady Grove Rd
Ste 350
Rockville, MD 20850
Phone (240) 631-7900

11705 Berry Rd
Ste 103
Waldorf, MD 20603
Phone (240) 419-5260

Organizations & group practices 3

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": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1255947388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3004",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212290004",
            "telephone_number": "443-726-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 5TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212252036",
            "telephone_number": "443-726-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWOOD",
        "first_name": "MICHELLE",
        "middle_name": "VICTORIA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R208980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.