Annette Nicole Nielsen, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME93223 Issued in FL

Practice address

9743 Selten Way
Orlando, FL 32827-7933

Phone

(407) 736-8733

NPI assigned

Jul 20, 2005

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tree House Pediatrics PLLC

  dba Tree House Pediatrics

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1790973402
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1053310185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9743 SELTEN WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277933",
            "telephone_number": "407-736-8733",
            "fax_number": "407-736-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9743 SELTEN WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277933",
            "telephone_number": "407-736-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "ANNETTE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME93223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272489800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Susan Nicoletti, M.D.
• Zulima A. Nicoloff, M.D.
• Alyssa Nicotra
• Kenn Allan Niebrugge, D.C.
• Anne M Nielsen, NP
• Brianna Nielsen
• Lauren Margaret Nielsen, PT, DPT, DSC
• Mignon Teresa Nielsen, CRNA
• Melanie Nielson, CRNA
• Allyson Mary Niemier, BS

• Pediatrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.