Individual provider Active NPI

Medie Jesena Parrott, MSN, MPH

  • Nurse Practitioner
  • Santa Rosa, CA
National Provider Identifier
1598930059
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
15259 Issued in CA
Practice address
422 Larkfield Ctr # 492
Santa Rosa, CA 95403-1408
Phone
(707) 370-8774
Fax
(651) 666-1551
NPI assigned
Apr 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 15259 CA
Pediatric Nurse Practitioner 363LP0200X 15259 CA
Nurse Practitioner 363L00000X 15259 CA Primary
Pediatrics Physician 208000000X NP15259 CA

Addresses

Primary practice location

422 Larkfield Ctr # 492
Santa Rosa, CA 95403-1408

Mailing address

422 Larkfield Ctr # 492
Santa Rosa, CA 95403-1408
Phone (707) 370-8774

Other names 1

  • Medie Alita Jesena Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080617000728 CA Practitioner - Nurse Practitioner 9234200338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Round Valley Indian Health Center, Inc.Group PAC ID 9234128927, 17 clinicians

Practice addresses (Care Compare)

24065 Biggar LN
Covelo, CA 95428-9669
Phone (707) 983-6404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP15259CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Round Valley Indian Health Center, Inc. CurrentSince Sep 7, 2025 Accepting new patients
Peds2Psych NP Nursing Corporation Psychiatric/Mental Health Current Accepting new patients
St. Joseph Health Northern California, LLC PastSince Sep 7, 2025 Accepting new patients
Round Valley Indian Health Center Past Accepting new patients

Locations

422 Larkfield Ctr
Santa Rosa, CA 95403
Phone (707) 350-2736

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1598930059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 LARKFIELD CTR # 492",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031408",
            "telephone_number": "707-370-8774",
            "fax_number": "651-666-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 LARKFIELD CTR # 492",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031408",
            "telephone_number": "707-370-8774",
            "fax_number": "651-666-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARROTT",
        "first_name": "MEDIE",
        "middle_name": "JESENA",
        "credential": "MSN, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "15259",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "15259",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "15259",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "NP15259",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEDIE",
            "last_name": "JESENA",
            "middle_name": "ALITA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.