Individual provider Active NPI

Jessie Cirolia, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1548503105
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9309603 Issued in FL
Practice address
725 Primera Blvd Ste 145
Lake Mary, FL 32746-2130
Phone
(321) 472-3200
NPI assigned
Apr 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9309603 FL Primary
Family Nurse Practitioner 363LF0000X 9309603 FL

Addresses

Primary practice location

725 Primera Blvd Ste 145
Lake Mary, FL 32746-2130

Mailing address

725 Primera Blvd Ste 145
Lake Mary, FL 32746-2130
Phone (321) 472-3200

Other identifiers 1

IdentifierTypeStateIssuer
NI053OtherFLFL MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130918000717 FL Practitioner - Nurse Practitioner 9931343688 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9309603FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Florida, LLC CurrentSince Jan 1, 2025 Accepting new patients
Clay Primary & Family Care LLC CurrentSince Jun 12, 2013 Accepting new patients
Rooted in Care, Inc. Psychiatric/Mental Health CurrentSince May 11, 2025 Accepting new patients
Whole Body and Mind Health Psychiatric/Mental Health Current Accepting new patients

Locations

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

865 Blanding Blvd
Orange Park, FL 32065
Phone (904) 276-1133

1516 Hillcrest St
Ste 309
Orlando, FL 32803
Phone (407) 250-5938

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1548503105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 PRIMERA BLVD STE 145",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462130",
            "telephone_number": "321-472-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 PRIMERA BLVD STE 145",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462130",
            "telephone_number": "321-472-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIROLIA",
        "first_name": "JESSIE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9309603",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9309603",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICARE",
            "identifier": "NI053",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.