Individual Healthcare Provider
Andrea Wieder
Provider's NPPES record last updated: July 29, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1235673096
- Primary Specialty
- Nurse Practitioner — Psychiatric/Mental Health
- Practice Location
- Hazlet, New Jersey
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 5:45 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Psychiatric/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0808X Nurse Practitioner
Primary Care
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP2300XNurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (New Jersey)
- 26NJ00739000
- Nurse Practitioner (District of Columbia)
- RN1016374
- Nurse Practitioner (Massachusetts)
- RN282557
- Nurse Practitioner (Illinois)
- 277003768
Practice Locations
Practice Location
41 Village Ct
Hazlet, New Jersey 07730-1535
Phone: (908) 297-8849
Additional Practice Location
300 Baker Ave Ste 300
Concord, Massachusetts 01742-2124
Phone: (864) 336-2731
Fax: (833) 740-3387
Additional Practice Location
959 S Waukegan Rd Fl 2
Lake Forest, Illinois 60045-2654
Phone: (864) 336-2731
Fax: (833) 740-3387
Record Information
- Enumeration Date
- December 14, 2016
- Provider's NPPES Record Last Updated
- July 29, 2026
- Certification Date
- July 29, 2026
- NPISignal NPPES Dataset
- August 2026
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