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

Michelle Waddell, RN

Individual provider Family Nurse Practitioner · NPI 1790486967

Michelle Waddell, RN is a Nurse Practitioner in Liberty, North Carolina. Qualified in 2023, 3 years ago. Practices with Mainstreet and Kidsstreet of North Carolina PLLC, a 76-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

246 W Swannanoa Ave
Liberty, NC 27298-3214
Phone: (336) 795-7016
Show map & directions

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

Additional practice locations (1)

  • 364 White Oak St, Asheboro, NC 27203-5434 — (336) 625-5151

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5018324 (NC)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 196010 (NC)

Record details

NPI number1790486967
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedMarch 15, 2023
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address364 White Oak St, Asheboro, NC 27203-5434

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mainstreet And Kidsstreet Of North Carolina Pllc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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