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

Michaela Lynn Haller

Individual provider Physician Assistant · NPI 1912589870

Michaela Lynn Haller is a Physician Assistant in Nantucket, Massachusetts. Qualified in 2021, 5 years ago. Practices with St Peters Hospital of the City of Albany, a 268-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021

Practice location Address checks out

57 Prospect St
Nantucket, MA 02554-2799
Phone: (508) 825-8100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 317 S Manning Blvd Ste 220, Albany, NY 12208-3909 — (518) 525-6418

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1912589870
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 21, 2021
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address57 Prospect St, Nantucket, MA 02554-2799

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Peters Hospital Of The City Of Albany — 268 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Nantucket