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AHJALE THYBULLE
NPI 1710686423
Nurse Practitioner - Women's Health in Bronx, NY

Active since March 01, 2023PECOS EnrolledAccepts Medicare Assignment
1065 SOUTHERN BLVD, BRONX, NY 10459(718) 589-2440 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 4, 2023, Mar 1, 2023 (2 updates tracked since 2023).

About Ahjale Thybulle NPPES

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

AHJALE THYBULLE (NPI 1710686423) is an individual women's health provider in Bronx, New York, licensed in New York (F421607) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Wyckoff Heights Medical Center, and is a graduate of State University Of New York Downstate Medical Center (2022).

NPPES Registry Identity

NPI1710686423
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameAHJALE THYBULLE
Location Address1065 SOUTHERN BLVDBronx, NY 10459-2417
Mailing Address1065 Southern BlvdBronx, NY 10459-2417 · (718) 589-2440
Phone(718) 589-2440
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2022
Enumeration DateMarch 1, 2023
Last NPPES UpdateMay 4, 20232 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
✔ NPI 1710686423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in NY · F421607
1065 SOUTHERN BLVD, Bronx, NY 10459
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ahjale Thybulle 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 ID6406391010
PECOS Enrollment IDI20240708002877
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.

Medicare Billing Reassignment

Medicare enrollment records show Ahjale Thybulle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wyckoff Professional Medical Services, PC
8.4 mi
Internal Medicine
374 STOCKHOLM ST
Brooklyn, NY 11237
  • Reassigned Medicare billing, New York enrollment
  • 427 clinicians in this Medicare group
NPI 1659710796 (718) 963-6485

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wyckoff Heights Medical Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330221
Location374 Stockholm StreetBrooklyn, NY 11237 · Kings County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10459 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 20

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

SARAH VANEGAS
Social Worker
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (516) 587-9445
MS. CHRISTINA CAMACHO
Nutritionist
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
DR. RACQUEL K MILLWOOD PSY.D.
Psychologist (Clinical)
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
DR. MARIA DELIA CROSBY AGPCNP-BC
Nurse Practitioner (Adult Health)
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
GLORIA RODRIGUEZ FNP
Nurse Practitioner (Family)
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
CHELSEA ALONZO ACEBO PA-C
Physician Assistant
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
HEATHER MOSTBERGER
Social Worker
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
YOHANNA FILPO DENTAL HYGENIST
Dental Hygienist
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ahjale Thybulle's NPI number?

The NPI number for Ahjale Thybulle is 1710686423. It was assigned to this individual provider in the NPPES registry on March 1, 2023.

Where is Ahjale Thybulle located?

Ahjale Thybulle practices at 1065 Southern Blvd, Bronx, NY 10459. The listed phone number is (718) 589-2440.

What is Ahjale Thybulle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Ahjale Thybulle enrolled in Medicare?

Yes. Ahjale Thybulle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ahjale Thybulle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ahjale Thybulle reassigns Medicare benefits to Wyckoff Professional Medical Services, PC (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ahjale Thybulle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ahjale Thybulle affiliated with any hospitals?

According to CMS data, Ahjale Thybulle is affiliated with Wyckoff Heights Medical Center.

When was this NPI record last updated?

The NPPES record for Ahjale Thybulle was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.