Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michaela June Haddock

Individual provider Registered Nurse · NPI 1508614397

Michaela June Haddock is a Nurse Practitioner in Omaha, Nebraska. Graduated from University of Nebraska College of Medicine in 2024, 2 years ago. Practices with Physicians Clinic Inc, a 560-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
2
Trained at
University of Nebraska College of Medicine
Licensed in
NE
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

8901 W Dodge Rd Ste 250
Omaha, NE 68114-3300
Phone: (402) 354-2000
Fax: (402) 354-8645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 115456 (NE)
Registered Nurse Taxonomy 163W00000X · Licence 81706 (NE)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 115456 (NE)

Record details

NPI number1508614397
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 8, 2024
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024
Mailing addressPo Box 3755, Omaha, NE 68103-0755

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Physicians Clinic Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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