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

Kristie Leigh Klosterman, NURSE, PRACTITIONER

Individual provider Registered Nurse · NPI 1619352515

Kristie Leigh Klosterman, NURSE, PRACTITIONER is a Nurse Practitioner in Amagansett, New York. Qualified in 2021, 5 years ago. Practices with Kathleen Vine MD PC, a 10-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2015
Specialties on file
2

Practice location Address checks out

524 Montauk Hwy Ste 101
Amagansett, NY 11930-2110
Phone: (631) 557-3043
Fax: (631) 557-3044
Show map & directions

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

Additional practice locations (1)

  • 5 Squiretown Rd, Hampton Bays, NY 11946-2011 — (631) 728-5300

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 348178 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 702568 (NY)

Record details

NPI number1619352515
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSE , PRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 21, 2015
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Kathleen Vine Md Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Amagansett