Active NPI
Anna-Marie Wellins, ANP
- Adult Health Nurse Practitioner
- Sag Harbor, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F306116
- Practice address
- 3330 Noyac Rd
Burkeshire Court Building a
Sag Harbor, NY 11963-1930 - Phone
- (631) 725-2112
- Fax
- (631) 725-7180
- NPI assigned
- Sep 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F306116 | NY | Primary |
Addresses
Primary practice location
3330 Noyac Rd
Burkeshire Court Building a
Sag Harbor, NY 11963-1930
Mailing address
PO Box 2340
Southampton, NY 11969-2340
Phone (631) 283-2430
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- State University of New York at Stony Brook, School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
182 W Montauk Hwy
Suite B
Hampton Bays, NY 11946-4210
Phone (631) 594-3910
182 W Montauk Hwy BLDG B
Suite H
Hampton Bays, NY 11946-4210
Phone (631) 723-0022
240 Meeting House LN
Southampton, NY 11968-5009
Phone (631) 726-8400
325 Meeting House LN
Southampton, NY 11968-7000
3330 Noyac Rd
Sag Harbor, NY 11963-1930
Phone (631) 725-2112
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F306116 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meeting House Lane Medical Practice PC | Current | Accepting new patients | |
| South Fork Medical Associates PC | Past | Accepting new patients |
Locations
57 Hampton Rd
Ste 201
Southampton, NY 11968
Phone (631) 283-1126
325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- annamarie.wellins.p1@direct.shproviders.nextgenshare.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Southampton, NY
- NPI 1902088495
-
- Registered Dietitian
- Southampton, NY
- NPI 1144288077
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1972853729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2340",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119692340",
"telephone_number": "631-283-2430",
"fax_number": "631-283-7496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 NOYAC RD",
"address_2": "BURKESHIRE COURT BUILDING A",
"city": "SAG HARBOR",
"state": "NY",
"postal_code": "119631930",
"telephone_number": "631-725-2112",
"fax_number": "631-725-7180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLINS",
"first_name": "ANNA-MARIE",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-19",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F306116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sag Harbor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.