Active NPI
Wesllyne Therasse, NP
- Family Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 339986
- Practice address
- 1621 Eastchester Rd
Bronx, NY 10461-2604 - Phone
- (718) 405-8040
- NPI assigned
- Apr 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 339986 | NY | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 408014 | NY | |
| Registered Nurse | 163W00000X | 583166 | NY | |
| Women's Health Nurse Practitioner | 363LW0102X | 421093 | NY |
Addresses
Primary practice location
1621 Eastchester Rd
Bronx, NY 10461-2604
Mailing address
11 Atlas PL
Mount Vernon, NY 10552-1506
Phone (845) 494-9691
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
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 583166 | NY | MD | Registered Nurse |
| 408014 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| 421093 | NY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Allara Medical Group PA | Past | Accepting new patients | |
| Cathy J. Berry, M.D., P.C. | Past | Accepting new patients |
Locations
1621 Eastchester Rd
Bronx, NY 10461
1065 Southern Blvd
Bronx, NY 10459
Phone 71858924404222
111 E 210th St
Bronx, NY 10467
100 Corporate Dr
#100
Yonkers, NY 10701
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- twesllyne277595@nychhc.direct-ci.com
- wesllyne.therasse.1@24989.direct.athenahealth.com
- wtherasse@montefioredirect.com
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Gynecology Physician
- New York, NY
- NPI 1700450558
-
- Obstetrics & Gynecology Physician
- Syracuse, NY
- NPI 1992784573
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1609210707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 ATLAS PL",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105521506",
"telephone_number": "845-494-9691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 EASTCHESTER RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104612604",
"telephone_number": "718-405-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THERASSE",
"first_name": "WESLLYNE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-19",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "339986",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "408014",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "583166",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "421093",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.