Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dorisanne Yllena Wonsor, PA-C

Individual provider Physician Assistant · NPI 1710549761

Dorisanne Yllena Wonsor, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 2019, 7 years ago. Practices with Southwestern Vermont Medical Center, Inc, a 176-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

450 Brookline Ave
Boston, MA 02215-5450
Phone: (516) 473-4989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17 Shanley St Apt 1, Brighton, MA 02135-3137 — (516) 473-4989

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA7386 (MA)

Record details

NPI number1710549761
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 30, 2019
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southwestern Vermont Medical Center, Inc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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