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Home > DC Providers > Obstetricians & Gynecologists: OB-GYNs

Monica Elston, CRNP, FNP

Accepting New Patients

(616 Ratings)

Specializes in: Obstetrics & Gynecology and Family Medicine

Professional interests include: preconception counseling, laparoscopic hysterectomy, implant removal, and more.

2233 Wisconsin Avenue, NW 3rd Floor, Ste.300
Washington, DC 20007

(202) 295-0544

Monica Elston, CRNP, FNP is a nurse in Washington, DC specializing in obstetrics & gynecology and family medicine. Monica Elston, CRNP, FNP is affiliated with MedStar Georgetown University Hospital, MedStar Health and MGMC LLC.

Office Locations

Address:

2233 Wisconsin Avenue, NW 3rd Floor, Ste.300
Washington, DC 20007

Some issues Monica Elston, CRNP, FNP can help you with:

Cesarean Section (C-Section)

A Cesarean section (more often known as "C-Section") is a surgery performed during labor and delivery. A C-Section is a procedure that delivers a baby through an incision in the lower abdomen and uterus. In the United States, about a third of all births are performed by Cesarean section. Most often, a C-section is done by an obstetrician/gynecologist (OB-GYN), or in certain regions, a general surgeon or family physician.

C-section incisions can be up-and-down (vertical), from belly button to lower abdomen or side-to-side (horizontal), across the lower abdomen. Side-to-side incisions are more frequently used. After the exterior incisions are made, the doctor then cuts into the uterus and amniotic sac and delivers the infant and cuts the baby's umbilical cord. The mother receives medicine to expel the placenta and the doctor helps to safely remove it. Finally, the doctor uses sutures to seal the uterus and tissue incisions. The initial C-section skin incision is also closed with sutures or staples.

C-sections are typically performed with regional anesthesia, which inhibits pain in the lower half of the body, but allows mothers to be awake. However, some mothers may receive general anesthesia, where they are put to sleep during the surgical procedure.

C-sections may be planned or unplanned, depending on the circumstances of the birth.

Pre-existing conditions like heart disease, high blood pressure, herpes, and HIV may prompt a doctor to prescribe a C-section. Other situations for C-section include:

A large baby or birth to multiple children
Pelvic fracture or limited birth canal
Baby in the "breech position," where a baby is positioned feet or bottom first in the uterus
Baby with a developmental disorder
Irregular fetal heartbeat
Mother with a history of previous C-sections

Other mothers may require a C-section due to complications arising during delivery. These unplanned, emergency C-sections allow for a healthy birth even when complex complications are present. Problems during labor which may necessitate a C-section include:

Labor not progressing
Fetus switching position during labor
Distressed infant
Blockage of the cervical opening by the placenta
Prolapsed umbilical cord

Mothers should expect about a six-week recovery period following a C-section, including an initial hospital stay of two to three days. While in the hospital, mothers may spend time with their baby and begin breastfeeding. After returning home, mothers should limit strenuous activities such as lifting, reaching, and exercise, and should make sure to get plenty of rest.

Hysterectomy (Uterus Removal)

A hysterectomy is an extremely common surgery performed to remove the uterus. Sometimes the fallopian tubes, ovaries, or cervix will be removed as well. A woman who has had a hysterectomy will no longer have periods and cannot get pregnant.

There are a variety of reasons that women have hysterectomies, including:

Heavy bleeding or pain, such as that due to fibroids, endometriosis, or adenomyosis
Cancer
Prolapsed uterus, where the pelvic muscles can no longer completely hold the uterus in place

It is important to note that having any of these conditions does not necessarily mean that a hysterectomy is necessary. There are other available treatment options in most cases.

Although the uterus is responsible for a period, it is the ovaries that control the hormonal changes that women go through every month. So if a woman has a hysterectomy but keeps her ovaries, she might still experience hormonal swings every month even if she no longer has a period. Alternately, if a younger woman has a hysterectomy where her ovaries as removed, she will essentially be in immediate menopause.

A hysterectomy can be performed traditionally through one large cut in the abdomen, laparoscopically using tiny incisions and small tools, or through the vagina. Full recovery may take four to six weeks. After a hysterectomy, patients might experience sexual changes such as vaginal dryness or a change in libido. It is common to experience strong emotions after a hysterectomy, including both grief and relief. If a patient's ovaries were removed, they may be at higher risk for certain diseases, such as heart disease and osteoporosis. Taking hormonal birth control might reduce this risk.

Pessary

A pessary is a device that is inserted into the vagina to relieve symptoms associated with mild to moderate pelvic organ prolapse, a condition in which the womb, bladder, or rectum bulges into the vaginal canal. This device is made of either rubber or plastic and is a safe, nonsurgical way to provide support for prolapsed organs.

Pessaries come in different shapes and sizes, and finding the right one can take some trial and error. Before a pessary fitting, patients will be examined and evaluated based on prolapse-related symptoms they may be experiencing, which may include discomfort, urine leakage when sneezing or coughing, and trouble keeping tampons in.

The following tips can help guide the process of finding the right fit:

Once in place, patients should not be able to feel the device at all. If there is even slight pressure, patients should let their healthcare provider know, and she will find a pessary of a different size or shape.
The pessary should not fall out with sneezing, coughing, jumping, or squatting. While getting fitted, patients should try jumping or squatting to see if the device will fall out. If it does, a different pessary will be inserted until they find one that stays in place.
Patients and their healthcare providers should make sure the device is improving symptoms by having a check-up 5 to 15 days after it is inserted. If there is no improvement, patients may have to be re-fitted with a different pessary, or patients may be asked to consider surgical options.

The device should be kept clean to avoid issues like vaginal odor, discharge, or irritation. To clean a pessary, it must be taken out and washed with soap and water. Healthcare providers will instruct patients on how to remove and reinsert the device. If patients are unable to do this on their own, they will need to get it done at the doctor's office at least once every two months.

breast exam	18
gynecologic procedures	18

**Gender**
Male	0
Female	48

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	26

Hypertension	54
High Cholesterol	0
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

breast exam	22
cytology	15
doctor visit	9
gynecologic pathology	15
gynecologic procedures	22
preventive care	15

**Gender**
Male	0
Female	37

**Ethnicity**
Non-Hispanic White	0
Black	23
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	24

Hypertension	54
High Cholesterol	0
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	30
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

breast exam	22
cytology	13
doctor visit	8
gynecologic pathology	13
gynecologic procedures	22
preventive care	13

**Gender**
Male	0
Female	42

**Ethnicity**
Non-Hispanic White	0
Black	30
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	24

Hypertension	52
High Cholesterol	26
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	40
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	36
Dementia	0
Cancer	0

breast exam	16
cytology	10
gynecologic pathology	10
gynecologic procedures	16
preventive care	10

**Gender**
Male	0
Female	27

Hypertension	44
High Cholesterol	0
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

breast exam	13
gynecologic procedures	13

**Gender**
Male	0
Female	28

**Ethnicity**
Non-Hispanic White	0
Black	17
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	14
From 75 to 84	0
85 and over	0
Less than 65	14

Hypertension	46
High Cholesterol	0
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	39
Dementia	0
Cancer	0

doctor visit	11

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	16

Hypertension	61
High Cholesterol	46
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

breast exam	24
doctor visit	58
gynecologic procedures	24

Average Medicare Procedure Volume From 2015 - 2021

Volume of procedures performed by Monica Elston, CRNP, FNP for Medicare patients.

The highest averages for the top procedures that Monica Elston, CRNP, FNP treated as a nurse in Washington, DC were breast exam, gynecologic procedures, preventive care and cytology.

breast exam	19
cytology	12
doctor visit	23
gynecologic pathology	12
gynecologic procedures	19
preventive care	12

Average Medicare Patient Data From 2015 - 2021

Information about Medicare patients treated by Monica Elston, CRNP, FNP.

**Gender**
Female	18
Male	0

**Ethnicity**
Black / African American	7
Asian / Pacific Islander	0
Non-Hispanic White	0
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
85 and over	0
75 to 84	0
Less than 65	10
65 to 74	1

Average of Total of Conditions of Medicare patients treated by Monica Elston, CRNP, FNP From 2015 - 2021

The highest averages of the most common conditions of Medicare patients that Monica Elston, CRNP, FNP treated were hypertension, chronic kidney disease, diabetes and high cholesterol.

Hypertension	31
High Cholesterol	7
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	7
Asthma	0
Osteoporosis	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	7
Atrial Fibrillation	0
Cancer	0
Dementia	0

Education & Training

She has a state license in District of Columbia.

Licensed In: District of Columbia

Affiliations & Hospitals

Monica Elston, CRNP, FNP is associated with these hospitals and organizations:

MedStar Georgetown University Hospital

MedStar Health

MGMC LLC

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Monica Elston, CRNP, FNP appears to accept the following insurance providers: CIGNA Choice Fund PPO, MAMSI, First Health PPO, Blue Choice, Golden Rule, Great-West Healthcare, TRICARE, Community Care Network (CCN), Coventry, TRICARE Reserve Select, Anthem, Aetna Managed Choice POS, Beech Street PPO, Aetna HMO, Kaiser Select, Kaiser Permanente, CIGNA EPO, Aetna Medicare PPO, CIGNA Indemnity, AARP, Medicare Advantage, Coventry National Network PPO, United Healthcare, Medicaid, Humana, Cigna, Virginia Premier Health Plan, WellPoint, Aetna, CIGNA Network Open Access, Private Healthcare Systems (PHCS), HealthyBlue PPO, MedStar Family Choice - Maryland Health Choice, CareFirst NASCO, CareFirst Maryland Indemnity or PPO, Traditional Medicare Fee for Service, United Optimum Choice Preferred (POS) & OCI Direct (HMO), Innovation Health: Open POS Plus, MedStar Family Choice DC Healthy Families, Carefirst EPO, Innovation Health: HMO & EPO Plus, United Community Plan - Maryland Health Choice Program, CareFirst Administrators, United Student Resources, United Select HMO - EPO/NPP, United MD IPA Preferred (POS), United Options (PPO) (includes Empire PPO), Innovation Health: Network Only Plus, United MD IPA (HMO), United Choice Plus, CareFirst Blue Card Program (Out-of-area BCBS plans), Innovation Health: PPO, HumanaChoice Honor's plan PPO, MedStar Family Choice DC Healthcare Alliance, United Choice, United Optimum Choice, Federal Employee Program (Std/Basic PPO/Blue Focus), Innovation Health: POS, Maryland Point of Service Plan (MPOS), Innovation Health: Open Network Only Plus, United Select Plus (POS), CareFirst BC/BS Advantage Core/Enhanced, United Erickson Advantage Plans, Carefirst Healthy Blue (HMO/POS), Health Services for Children with Special Needs (HSCSN), D-SNP), I-SNP, CareFirst MedStar PPO, CareFirst (NCA) Indemnity, United Core Essential (HMO), Innovation Health: POS Plus, HumanaChoice PPO, United Nursing Home Plan (C-SNP, Innovation Health: Open POS II, Innovation Health: Indemnity, United GEHA (for all other states) Compass Rose, Veterans Affairs Community Care Network, United Navigate, Carefirst Blue Preferred PPO, Police and Fire Clinic and CareFirst MedStar Select PPO.

Insurance Accepted by Provider includes:

According to our sources, Monica Elston, CRNP, FNP accepts the following insurance providers:

CIGNA Choice Fund PPO

MAMSI

First Health PPO

Blue Choice

Golden Rule

Great-West Healthcare

TRICARE

Community Care Network (CCN)

Coventry

TRICARE Reserve Select

Anthem

Aetna Managed Choice POS

Beech Street PPO

Aetna HMO

Kaiser Select

Kaiser Permanente

CIGNA EPO

Aetna Medicare PPO

CIGNA Indemnity

AARP

Medicare Advantage

Coventry National Network PPO

United Healthcare

Medicaid

Humana

Cigna

Virginia Premier Health Plan

WellPoint

Aetna

CIGNA Network Open Access

Private Healthcare Systems (PHCS)

HealthyBlue PPO

MedStar Family Choice - Maryland Health Choice

CareFirst NASCO

CareFirst Maryland Indemnity or PPO

Traditional Medicare Fee for Service

United Optimum Choice Preferred (POS) & OCI Direct (HMO)

Innovation Health: Open POS Plus

MedStar Family Choice DC Healthy Families

Carefirst EPO

Innovation Health: HMO & EPO Plus

United Community Plan - Maryland Health Choice Program

CareFirst Administrators

United Student Resources

United Select HMO - EPO/NPP

United MD IPA Preferred (POS)

United Options (PPO) (includes Empire PPO)

Innovation Health: Network Only Plus

United MD IPA (HMO)

United Choice Plus

CareFirst Blue Card Program (Out-of-area BCBS plans)

Innovation Health: PPO

HumanaChoice Honor's plan PPO

MedStar Family Choice DC Healthcare Alliance

United Choice

United Optimum Choice

Federal Employee Program (Std/Basic PPO/Blue Focus)

Innovation Health: POS

Maryland Point of Service Plan (MPOS)

Innovation Health: Open Network Only Plus

United Select Plus (POS)

CareFirst BC/BS Advantage Core/Enhanced

United Erickson Advantage Plans

Carefirst Healthy Blue (HMO/POS)

Health Services for Children with Special Needs (HSCSN)

D-SNP)

I-SNP

CareFirst MedStar PPO

CareFirst (NCA) Indemnity

United Core Essential (HMO)

Innovation Health: POS Plus

HumanaChoice PPO

United Nursing Home Plan (C-SNP

Innovation Health: Open POS II

Innovation Health: Indemnity

United GEHA (for all other states) Compass Rose

Veterans Affairs Community Care Network

United Navigate

Carefirst Blue Preferred PPO

Police and Fire Clinic

CareFirst MedStar Select PPO

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Ratings & Reviews

Monica Elston, CRNP, FNP has an exceptional overall rating with an average of 4.9 out of 5 stars based on 616 ratings. We collect ratings and reviews of Monica Elston, CRNP, FNP from all over the web to help you find the right in Washington, DC.

4.9

Overall Rating

(616 Ratings)

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Reviews From Around The Web

Overall Rating: 5.0 2023-12-11