Individual provider Active NPI

Michaela Anne Haynes-Kaddy, C.N.P.

  • Nurse Practitioner
  • Leominster, MA
National Provider Identifier
1992114458
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
258412 Issued in MA
Practice address
50 Memorial Dr Ste 205
Leominster, MA 01453-2238
Phone
(978) 534-4241
Fax
(978) 534-3705
NPI assigned
Aug 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 258412 MA Primary

Addresses

Primary practice location

50 Memorial Dr Ste 205
Leominster, MA 01453-2238

Mailing address

50 Memorial Dr
Leominster, MA 01453-2238
Phone (978) 534-4241

Other names 1

  • Michaela A Richardson Other name

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
I20161228001185 MA Practitioner - Nurse Practitioner 0648492975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Impact Health PCGroup PAC ID 0941562664, 79 clinicians

Practice addresses (Care Compare)

180 Low St
Newburyport, MA 01950-3519
Phone (203) 497-3861

Hospital & facility affiliations

  • Umass Memorial Healthalliance Hospitals Hospital, Leominster, MA, CCN 220001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
258412MAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Health P.C. Nurse Practitioner CurrentSince Jun 1, 2025 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince May 16, 2025 Accepting new patients
Umass Memorial Medical Group Inc Nurse Practitioner CurrentSince May 16, 2025 Accepting new patients
Physician Onsite, Inc CurrentSince Jan 10, 2022 Accepting new patients
Leominster Medical Associates Past Accepting new patients

Locations

240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867

1 Great Rd
Acton, MA 01720
Phone (978) 263-9101

969 Park St
Attleboro, MA 02703
Phone (508) 222-4182

335 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-4411

50 Memorial Dr
Ste 205
Leominster, MA 01453
Phone (978) 534-0310

60 Hospital Rd
Leominster, MA 01453
Phone (978) 466-2000

370 West St
Leominster, MA 01453
Phone (978) 343-4411

50 Memorial Dr
Leominster, MA 01453
Phone (978) 466-4535

100 Hospital Rd
Ste 2A
Leominster, MA 01453
Phone (978) 466-2692

180 Low St
Newburyport, MA 01950
Phone (978) 465-5361

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDFBCA
  • Direct secure messaging: michaela.haynes-kaddy@237407481626628.direct.elationemr.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1407628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1992114458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEMORIAL DR",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532238",
            "telephone_number": "978-534-4241",
            "fax_number": "978-534-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEMORIAL DR STE 205",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532238",
            "telephone_number": "978-534-4241",
            "fax_number": "978-534-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES-KADDY",
        "first_name": "MICHAELA",
        "middle_name": "ANNE",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-10",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "258412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAELA",
            "last_name": "RICHARDSON",
            "middle_name": "A",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.