Individual provider Active NPI

Anne Valerie Nienstedt, M.D.

  • Family Medicine Physician
  • Wading River, NY
National Provider Identifier
1225365950
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
254725 Issued in NY
Practice address
67 Karen CT
Wading River, NY 11792-1962
Phone
(631) 953-7719
NPI assigned
Nov 18, 2009
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 254725 NY Primary

Addresses

Primary practice location

67 Karen CT
Wading River, NY 11792-1962

Mailing address

67 Karen CT
Wading River, NY 11792-1962

Other names 1

  • Anne Nienstedt Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20120920000114 NY Practitioner - Family Practice 2860640638 Reassigns benefits to 1 organization
Practice locations: Wading River, NY; Greenport, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

67 Karen CT
Wading River, NY 11792-1962
Phone (631) 953-7719

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
254725NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Dec 28, 2017 Accepting new patients
State of New York Comptrollers Office Current Accepting new patients
State of New York Comptrollers Office CurrentSince Dec 28, 2017 Accepting new patients
North Sea Associates LLC Past Accepting new patients

Locations

100 Patriots Rd
Stony Brook, NY 11790
Phone (631) 444-8500

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1225365950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 KAREN CT",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117921962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 KAREN CT",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117921962",
            "telephone_number": "631-953-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIENSTEDT",
        "first_name": "ANNE",
        "middle_name": "VALERIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "254725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "NIENSTEDT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wading River, NY

Sources for this page

Verify at the official NPI Registry.