Jessi Grostefon, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

103 Issued in VI

Practice address

9149 Estate Thomas Ste 308
St Thomas, VI 00802-3132

Phone

(340) 774-8881

NPI assigned

Aug 19, 2016

Last updated

Jan 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Indiana ENT LLCGroup PAC ID 6507964137, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Southern Indiana ENT, LLC

  • Otolaryngology Physician
  • Columbus, IN
  • NPI 1013030618
  Medicare reassignment Care Compare group
• Paradise Surgical, LLC

  • Ambulatory Surgical Clinic/Center
  • St Thomas, VI
  • NPI 1568700284
  NPD (past)
• Sudeep Singh M.D., Inc

  dba Singh Sinus & Breathing Center

  • Specialist
  • Hanford, CA
  • NPI 1760651608
  NPD (past)

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1962957928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9149 ESTATE THOMAS STE 308",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008023132",
            "telephone_number": "340-774-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9149 ESTATE THOMAS STE 308",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008023132",
            "telephone_number": "340-774-8881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Beeston Hill Medical Ctr Ste 8",
            "address_purpose": "LOCATION",
            "city": "St Croix",
            "state": "VI",
            "postal_code": "008205254",
            "country_code": "US",
            "telephone_number": "340-773-8801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSTEFON",
        "first_name": "JESSI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VI",
            "license": "103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green VI LLC (Vitality Physical Therapy and Wellness)
• Anwar L Gregory, PHARM. D
• Horace Oliver Griffith, M.D.
• Sonia A. Griffith, D.D.S
• Angela Grimaldi, PA
• Jeffrey Guller, MD
• Imnett Habtes, M.D.
• Katelynn Marie Hackl, RDN
• Gayann Irena Hall, M.D.
• Lekisha Ann Hamilton, D.C.

• Medical Physician Assistant in St Thomas, VI
• Providers in St Thomas, VI by specialty
• Medical Physician Assistant in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.