Individual provider Active NPI

Flora E Jestice, MSN, FNP-C, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Montpelier, VT
National Provider Identifier
1952736209
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
101.0134419 Issued in VT
Practice address
159 State St Ste 102
Montpelier, VT 05602-3301
Phone
(802) 505-9030
Fax
(802) 357-7202
NPI assigned
Sep 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 101.0134419 VT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 101.0134419 VT Primary
Lactation Consultant (Registered Nurse) 163WL0100X 10522258 VT

Addresses

Primary practice location

159 State St Ste 102
Montpelier, VT 05602-3301

Mailing address

159 State St Ste 102
Montpelier, VT 05602-3301
Phone (802) 505-9030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20200319000958 VT Practitioner - Nurse Practitioner 7719315050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

159 State St
Suite 102
Montpelier, VT 05602-3301
Phone (802) 505-9030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
10522258VTMDLactation Consultant (Registered Nurse)
101.0134419VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flora Ellen Health, LLC Psychiatric/Mental Health CurrentSince Feb 5, 2025 Accepting new patients
Planned Parenthood of Northern New England Past Accepting new patients
Planned Parenthood of Northern New England PastSince Mar 9, 2020 Accepting new patients

Locations

159 State St
Ste 102
Montpelier, VT 05602
Phone (802) 505-7337

Organizations & group practices 3

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": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1952736209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 STATE ST STE 102",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023301",
            "telephone_number": "802-505-9030",
            "fax_number": "802-357-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 STATE ST STE 102",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023301",
            "telephone_number": "802-505-9030",
            "fax_number": "802-357-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESTICE",
        "first_name": "FLORA",
        "middle_name": "E",
        "credential": "MSN, FNP-C, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0134419",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0134419",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VT",
            "license": "10522258",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

Verify at the official NPI Registry.