AYANNA WESLEY NP
NPI 1669364717
Nurse Practitioner - Adult Health in Port Jefferson Station, NY

Q: What is Ayanna Wesley's NPI number?

The NPI number for Ayanna Wesley is 1669364717. It was assigned to this individual provider in the NPPES registry on July 15, 2025.

Q: What is Ayanna Wesley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Ayanna Wesley was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 15, 2025PECOS EnrolledAccepts Medicare Assignment

1360 ROUTE 112, PORT JEFFERSON STATION, NY 11776(631) 764-1976 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ayanna Wesley Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AYANNA WESLEY NP (NPI 1669364717) is an individual adult health provider in Port Jefferson Station, New York, licensed in New York (312366) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1669364717

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameAYANNA WESLEYCredential: NP

Location Address1360 ROUTE 112Port Jefferson Station, NY 11776-3078

Mailing AddressPo Box 35Ridge, NY 11961-0035

Phone(631) 764-1976

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 15, 2025

NPPES CertifiedJuly 12, 2025

✔ NPI 1669364717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 312366

1360 ROUTE 112, Port Jefferson Station, NY 11776

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ayanna Wesley Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234619776

PECOS Enrollment IDI20260213004103

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11776 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAISTA NOOR PT

Physical Therapist