Individual provider Active NPI

Jindriska Vesela, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hollis, NH
National Provider Identifier
1528923018
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
069370-23 Issued in NH
Practice address
17 Twiss LN
Hollis, NH 03049-6537
Phone
(604) 809-8181
NPI assigned
Dec 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 069370-23 NH Primary

Addresses

Primary practice location

17 Twiss LN
Hollis, NH 03049-6537

Mailing address

17 Twiss LN
Hollis, NH 03049-6537
Phone (603) 809-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
069370-23NHMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1528923018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 TWISS LN",
            "city": "HOLLIS",
            "state": "NH",
            "postal_code": "030496537",
            "telephone_number": "603-809-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 TWISS LN",
            "city": "HOLLIS",
            "state": "NH",
            "postal_code": "030496537",
            "telephone_number": "604-809-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESELA",
        "first_name": "JINDRISKA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-17",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "069370-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis, NH

Sources for this page

Verify at the official NPI Registry.