Nesiodostomia quarta is a species of sea snail, a marine gastropod mollusk in the family Pyramidellidae, the pyrams and their allies.

The smooth and glossy shell has a cinnamon color.

The subsutural margin is defined by an indistinct line in the color of the shell.

The outer lip is tapering outward in the middle.

[2] This species occurs in the Pacific Ocean off Hawaii.