Individual provider Active NPI

Maria Nieto, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Stuart, FL
National Provider Identifier
1871729665
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
ME128094 Issued in FL
Practice address
401 SE Osceola St
Ste 200a
Stuart, FL 34994-2503
Phone
(561) 318-0252
Fax
(561) 744-0735
NPI assigned
Jun 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 241605 MA
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X ME128094 FL Primary

Addresses

Primary practice location

401 SE Osceola St
Ste 200a
Stuart, FL 34994-2503

Mailing address

401 SE Osceola St
Ste 200a
Stuart, FL 34994-2503
Phone (561) 318-0252

Other identifiers 1

IdentifierTypeStateIssuer
017290600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160628001830 FL Practitioner - Obstetrics/Gynecology 8022309723 Reassigns benefits to 2 organizations
I20220308002063 AZ Practitioner - Obstetrics/Gynecology 8022309723 Reassigns benefits to 2 organizations
I20220930001275 TX Practitioner - Obstetrics/Gynecology 8022309723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pittsburgh School of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Bisbee Hospital AssociationGroup PAC ID 5092626168, shared by 4 NPIs, 69 clinicians
San Carlos Apache Healthcare CorporationGroup PAC ID 0648580597, 147 clinicians
Northwell Health Medical, IncGroup PAC ID 1052831591, 2 clinicians

Practice addresses (Care Compare)

101 Cole Ave
Bisbee, AZ 85603-1327
Phone (520) 432-5383

103 Medicine Way Rd
Peridot, AZ 85542-0787
Phone (928) 475-1400

222 Lakeview Ave
Suite 950
West Palm Beach, FL 33401-6173
Phone (561) 916-1141

401 SE Osceola St
Suite 200a
Stuart, FL 34994-2503
Phone (561) 318-0252

7 Bisbee Rd
Bisbee, AZ 85603-1140
Phone (520) 432-2042

Hospital & facility affiliations

  • Copper Queen Community Hospital Hospital, Bisbee, AZ, CCN 031312
  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287
  • San Carlos Apache Healthcare Corporation Hospital, Peridot, AZ, CCN 031320
  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241605MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vag Specialist LLC Obstetrics & Gynecology CurrentSince Aug 1, 2021 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jul 8, 2022 Accepting new patients
Bisbee Hospital Association CurrentSince Feb 2, 2022 Accepting new patients
Northwell Health Medical, Inc CurrentSince May 19, 2025 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jul 8, 2022 Accepting new patients
Bisbee Hospital Association Current Accepting new patients
Copper Queen Medical Associates Douglas CurrentSince Feb 2, 2022 Accepting new patients
Bisbee Hospital Association Past Accepting new patients
North Shore-Lij Medical PC Family Medicine PastSince May 19, 2025 Accepting new patients
Bisbee Hospital Association Past Accepting new patients

Locations

7 Bisbee Rd
Bisbee, AZ 85603
Phone (520) 432-2042

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

100 W 5th St
Douglas, AZ 85607
Phone (520) 364-7659

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

401 SE Osceola St
Ste 200A
Stuart, FL 34994
Phone (561) 318-0252

222 Lakeview Ave
Ste 950
West Palm Beach, FL 33401
Phone (561) 916-1141

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25031/brand/1/csg/1/fhir/r4
  • Direct secure messaging: maria.nieto.1@25031.direct.athenahealth.com

Organizations & group practices 10

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

Hospital & facility affiliations 6

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": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1871729665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SE OSCEOLA ST",
            "address_2": "STE 200A",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942503",
            "telephone_number": "561-318-0252",
            "fax_number": "561-744-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SE OSCEOLA ST",
            "address_2": "STE 200A",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942503",
            "telephone_number": "561-318-0252",
            "fax_number": "561-744-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETO",
        "first_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "241605",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME128094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017290600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.