MR. KRISTOPHER ALAN HAINES MICHAUD (MS, RD, LD) – Registered Dietitian, NPI 1821746322

MR. KRISTOPHER ALAN HAINES MICHAUD (MS, RD, LD) is a healthcare provider. based in Bangor, Maine. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials MS, RD, LD. They hold a License No. DI1712 (ME). The NPI Number for MR. KRISTOPHER ALAN HAINES MICHAUD (MS, RD, LD) is 1821746322

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MR. KRISTOPHER ALAN HAINES MICHAUD (MS, RD, LD)
NPI
1821746322
Phone
(207) 551-8195
Address
21 JASMINE LN
Enumeration Date
14 March 2022
Last Update Date
2 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078859905
Graduation Year
2021 (5 years ago)
PAC ID
1557744653
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20220823002601
Address ID
ME041023134PO22XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

45 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in ME

Provider Addresses for MR. KRISTOPHER ALAN HAINES MICHAUD (MS, RD, LD)

  • 21 JASMINE LN

    BANGOR, ME 044014482

    Phone: (207) 551-8195

    Type: Mailing

  • 905 UNION ST STE 11

    BANGOR, ME 044013039

    Phone: (207) 973-6383

    Type: Location

  • 72 MAIN ST

    KENNEBUNK, ME 040437021

    Phone: (207) 467-8810

    Fax: (207) 467-8811

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220823002601IRegistered Dietitian Or Nutrition ProfessionalMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517860588View full group profile

Reviews

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Frequently asked questions

What identifier follows MR. KRISTOPHER ALAN HAINES MICHAUD (MS, RD, LD) across health systems?
The NPI 1821746322 uniquely identifies MR. KRISTOPHER ALAN HAINES MICHAUD (MS, RD, LD) in U.S. healthcare data.
Does the public listing show MR. KRISTOPHER ALAN HAINES MICHAUD (MS, RD, LD) as active?
MR. KRISTOPHER ALAN HAINES MICHAUD (MS, RD, LD)'s NPI record reflects an active status in NPPES.
Which specialty label fits MR. KRISTOPHER ALAN HAINES MICHAUD (MS, RD, LD)?
NPPES ties MR. KRISTOPHER ALAN HAINES MICHAUD (MS, RD, LD) to Registered Dietitian in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MR. KRISTOPHER ALAN HAINES MICHAUD (MS, RD, LD)?
The directory associates MR. KRISTOPHER ALAN HAINES MICHAUD (MS, RD, LD) with Bangor, Maine. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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