Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anne-Marie Wise

Individual provider Women's Health Nurse Practitioner · NPI 1639555428

Anne-Marie Wise is a Nurse Practitioner in Mineola, New York. Qualified in 2015, 11 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015

Practice location Address checks out

120 Mineola Blvd Ste 100
Mineola, NY 11501-4064
Phone: (516) 663-6925
Fax: (516) 663-4821
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 421221 (NY)

Record details

NPI number1639555428
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 4, 2015
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021
Mailing address120 Mineola Blvd, Suite 100, Mineola, NY 11501-4064

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mineola