Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Hayley Anne Koch, FNP-BC

Individual provider Registered Nurse · NPI 1700616240

Mrs. Hayley Anne Koch, FNP-BC is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2024, 2 years ago. Practices with Commonwealth Dermatology PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2024
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

100 Mlk Jr Blvd Ste 200
Worcester, MA 01608-1209
Phone: (508) 389-0887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN2287617 (MA)

Record details

NPI number1700616240
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedAugust 7, 2024
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Commonwealth Dermatology Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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