Individual provider Active NPI

Andrea Wieder

  • Psychiatric/Mental Health Nurse Practitioner
  • Hazlet, NJ
National Provider Identifier
1235673096
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00739000 Issued in NJ
Practice address
41 Village CT
Hazlet, NJ 07730-1535
Phone
(908) 297-8849
NPI assigned
Dec 14, 2016
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277003768 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN282557 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00739000 NJ Primary
Primary Care Nurse Practitioner 363LP2300X RN1016374 DC

Addresses

Primary practice location

41 Village CT
Hazlet, NJ 07730-1535

Mailing address

41 Village CT
Hazlet, NJ 07730-1535
Phone (908) 297-8849

Other practice location 1

300 Baker Ave Ste 300
Concord, MA 01742-2124
Phone (864) 336-2731

Other practice location 2

959 S Waukegan Rd Fl 2
Lake Forest, IL 60045-2654
Phone (864) 336-2731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171025001664 NJ Practitioner - Nurse Practitioner 8022385194 Reassigns benefits to 5 organizations
I20260203000774 MA Practitioner - Nurse Practitioner 8022385194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Peaceful Mind Mental Health ServicesGroup PAC ID 9335531730, 8 clinicians

Practice addresses (Care Compare)

41 Village CT
Hazlet, NJ 07730-1535
Phone (908) 297-8849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277003768ILMDFamily Nurse Practitioner
RN282557MAMDPsychiatric/Mental Health Nurse Practitioner
26NJ00739000NJMDPsychiatric/Mental Health Nurse Practitioner
RN1016374DCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince May 1, 2023 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
MVP Medical Associates, PA Current Accepting new patients
MVP Medical Associates, PA CurrentSince Aug 7, 2017 Accepting new patients
Familywell PLLC Psychiatric/Mental Health CurrentSince Dec 24, 2025 Accepting new patients
Ocean Mental Health Services Inc CurrentSince Jan 9, 2024 Accepting new patients
A Peaceful Mind Mental Health Services CurrentSince Jun 9, 2025 Accepting new patients
MVP Medical Associates II LLC CurrentSince Nov 14, 2024 Accepting new patients
Atlanticare Physician Group CurrentSince May 1, 2023 Accepting new patients
MVP Medical Associates, PA CurrentSince Aug 7, 2017 Accepting new patients
Familywell PLLC Psychiatric/Mental Health PastSince Jan 28, 2024 Accepting new patients

Locations

959 S Waukegan Rd
#2
Lake Forest, IL 60045
Phone (847) 234-3250

300 Baker Ave
Ste 300
Concord, MA 01742
Phone (864) 336-2731

160 US Highway 9
Bayville, NJ 08721
Phone (732) 349-1977

200 Wyckoff Rd
Ste 1500
Eatontown, NJ 07724
Phone (732) 380-5456

2500 English Creek Ave
Ste 1000
Egg Harbor Twp, NJ 08234
Phone (609) 383-6400

41 Village Ct
Hazlet, NJ 07730
Phone (908) 297-8849

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

1803 State Route 35
Oakhurst, NJ 07755
Phone (732) 695-3668

1980 US Highway 9
Ste 100
Old Bridge, NJ 08857
Phone (732) 965-6000

1851 Hooper Ave
Ste B
Toms River, NJ 08753
Phone (732) 255-2001

1851 Hooper Ave
Ste B1
Toms River, NJ 08753
Phone (732) 255-2001

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1235673096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 VILLAGE CT",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301535",
            "telephone_number": "908-297-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 VILLAGE CT",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301535",
            "telephone_number": "908-297-8849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Baker Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "MA",
            "postal_code": "017422124",
            "country_code": "US",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "959 S Waukegan Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600452654",
            "country_code": "US",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEDER",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277003768",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN282557",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00739000",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DC",
            "license": "RN1016374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

Verify at the official NPI Registry.