Active NPIIndividual providerSole proprietor

Michaela L Haller

Physician Assistant in Nantucket, Massachusetts

NPI Number1912589870
Practice location
57 Prospect St, Nantucket, MA 02554-2799
Fax
—
Last updated
June 30, 2026

Michaela Lynn Haller is a Physician Assistant based in Nantucket, MA. Michaela Lynn Haller practices in Nantucket, MA. The NPI Number for Michaela Lynn Haller is 1912589870. The current practice location address for Michaela Lynn Haller is 57 Prospect St, Nantucket, MA 02554-2799 and can be reached out via phone at 508-825-8100.

Provider Profile Details

NPI Number
1912589870
Provider Name
Michaela Lynn Haller
Provider Entity Type
Individual
Gender
Female
Address
57 Prospect St, Nantucket, MA 02554-2799
Phone Number
508-825-8100
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 21, 2021
Last Update Date
June 30, 2026
Certification Date
June 30, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
57 Prospect St
Nantucket, MA 02554-2799
Zip
02554-2799
Phone Number
508-825-8100
Nantucket, MA 02554Get directions →

Provider Business Mailing Address Details

Address
57 Prospect St
Nantucket, MA 02554-2799
City
Nantucket
State
MA
Zip
02554-2799
Phone Number
978-505-8628

License Information

Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michaela L Haller?

The NPI number of Michaela L Haller is 1912589870. It was assigned on April 21, 2021 and is currently active in the NPPES registry.

What is the specialty of Michaela L Haller?

Michaela L Haller is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Michaela L Haller practice?

The practice location is 57 Prospect St, Nantucket, MA 02554-2799. The office can be reached at 508-825-8100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912589870 directly on the NPPES registry website.

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