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

Thyara Micheli

Individual provider Nurse Practitioner · NPI 1942980289

Thyara Micheli is a Nurse Practitioner in Southborough, Massachusetts. Qualified in 2023, 3 years ago. Practices with Charles River Medical Associates, PC, a 119-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2 Park Central Dr Ste 140
Southborough, MA 01772-1777
Phone: (508) 988-8922
Fax: (508) 988-8920
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2303635 (MA)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence RN2303635 (MA)

Record details

NPI number1942980289
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 21, 2023
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address171 Main St Ste 203b, Ashland, MA 01721-1187

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 Charles River Medical Associates, Pc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southborough