Individual provider Active NPI

Michelle Dedon, FNP

  • Family Nurse Practitioner
  • Hadley, MA
National Provider Identifier
1669960274
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN262213 Issued in MA
Practice address
424 Russell St
Hadley, MA 01035-9579
Phone
(413) 288-3400
Fax
(413) 288-3401
NPI assigned
Apr 30, 2018
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN262213 MA Primary
Registered Nurse 163W00000X 262213 MA

Addresses

Primary practice location

424 Russell St
Hadley, MA 01035-9579

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700

Other practice location 1

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20180821002304 MA Practitioner - Nurse Practitioner 0941559108 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Practice addresses (Care Compare)

245 Hartford Ave
Bellingham, MA 02019-3007
Phone (774) 295-4355

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mass Physician Associates Inc CurrentSince Apr 1, 2024 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Dec 1, 2024 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Apr 1, 2024 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Dec 1, 2024 Accepting new patients
Brightstar Health and Wellness Services CurrentSince Oct 15, 2022 Accepting new patients
Holyoke Medical Center, Inc. Current Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
Western Mass Physician Associates Inc Current Accepting new patients

Locations

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

1962 Memorial Dr
Chicopee, MA 01020
Phone (413) 534-2759

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

424 Russell St
Hadley, MA 01035
Phone (413) 253-0483

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2626

471 Center St
Ludlow, MA 01056
Phone (413) 625-3500

163 N Main St
North Brookfield, MA 01535
Phone (508) 344-8383

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

Interoperability endpoints

  • Direct secure messaging: michelle.dedon.npi1669960274.reliant@direct.optumcare.masshiway.net
  • Direct secure messaging: michelle.dedon@direct.hmcs.masshiway.net

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1669960274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-410-6700",
            "fax_number": "603-309-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 RUSSELL ST",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010359579",
            "telephone_number": "413-288-3400",
            "fax_number": "413-288-3401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 Beech St",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "010402223",
            "country_code": "US",
            "telephone_number": "413-534-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEDON",
        "first_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN262213",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "262213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hadley, MA

Sources for this page

Verify at the official NPI Registry.