1. Home
  2. Directory
  3. Rhode Island
  4. Providence
  5. Nurse Practitioner
  6. NPI Profile

MICHAELA ANN MAYNARD APRN
NPI 1083090849
Nurse Practitioner - Adult Health in Providence, RI

Active since August 04, 2015PECOS EnrolledAccepts Medicare Assignment
1125 N MAIN ST, PROVIDENCE, RI 02904(401) 793-2928 Get Directions Write a Review

NPPES record last updated: November 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michaela Ann Maynard Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAELA ANN MAYNARD APRN (NPI 1083090849) is an individual adult health provider in Providence, Rhode Island, licensed in Rhode Island (CAPRN01596) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Yale University School Of Medicine (2015).

NPPES Registry Identity

NPI1083090849
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMICHAELA ANN MAYNARDCredential: APRN
Location Address1125 N MAIN STProvidence, RI 02904-5739
Mailing Address1125 N Main StProvidence, RI 02904-5739 · (401) 793-2928
Phone(401) 793-2928
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2015
Enumeration DateAugust 4, 2015
Last NPPES UpdateNovember 27, 2019
✔ NPI 1083090849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in RI · CAPRN01596✔ Licensed in MA · RN2302797
1125 N MAIN ST, Providence, RI 02904
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1180 Corliss St Ste E2Providence, RI 02904-2602 · Phone (401) 793-2928
Location 2180 Corliss St Ste E1Providence, RI 02904-2602 · Phone (401) 793-2928
Location 3180 Corliss St Ste FProvidence, RI 02904-2602 · Phone (401) 793-4715

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michaela Ann Maynard Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375852569
PECOS Enrollment IDI20180306002639
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Michaela Maynard reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespan Physician Group Inc
0.3 mi
Urology
195 COLLYER ST STE 201
Providence, RI 02904
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
NPI 1720949803 (401) 272-7799
The Miriam Hospital
0.8 mi
Medical Specialty
180 CORLISS ST STE E1
Providence, RI 02904
  • Reassigned Medicare billing, Rhode Island enrollment
  • 45 clinicians in this Medicare group
NPI 1275810434 (401) 793-7401
The Rhode Island Public Health Foundation
2.8 mi
Clinic/Center
7 CENTRAL ST
Providence, RI 02907
  • Reassigned Medicare billing, Rhode Island enrollment
  • 13 clinicians in this Medicare group
NPI 1669024329 (401) 648-4700
Rhode Island Hospital
2.8 mi
Multi-Specialty
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 358 clinicians in this Medicare group
NPI 1154537520 (401) 444-6905

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FRANCINE TOUZARD ROMO M.D.
Internal Medicine (Infectious Disease)
1125 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 793-2928
LAUREEN MALATESTA BERKOWITZ PA-C
Physician Assistant
1125 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 793-2928
GERARD J NAU M.D.,PHD
Internal Medicine (Infectious Disease)
1125 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 793-4020
REBECCA MARIE REECE M.D.
Internal Medicine (Infectious Disease)
1125 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 793-4075
RAMI A KANTOR M.D.
Internal Medicine (Infectious Disease)
1125 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 793-2928
KAREN T TASHIMA MD
Internal Medicine (Infectious Disease)
1125 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 793-2928
SUSAN CU UVIN MD
Internal Medicine
1125 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 793-2928
DR. JENNIE ELIZABETH JOHNSON M.D.
Internal Medicine (Infectious Disease)
1125 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 793-2928

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michaela Maynard's NPI number?

The NPI number for Michaela Maynard is 1083090849. It was assigned to this individual provider in the NPPES registry on August 4, 2015.

Where is Michaela Maynard located?

Michaela Maynard practices at 1125 N Main St, Providence, RI 02904. The listed phone number is (401) 793-2928.

What is Michaela Maynard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Michaela Maynard enrolled in Medicare?

Yes. Michaela Maynard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michaela Maynard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michaela Maynard reassigns Medicare benefits to 4 organizations: Lifespan Physician Group Inc (Providence, RI), The Miriam Hospital (Providence, RI), The Rhode Island Public Health Foundation (Providence, RI) and Rhode Island Hospital (Providence, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michaela Maynard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michaela Maynard was last updated on November 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.