Essex Pediatrics Providers

Aaron Burley, M.D.

Aaron Burley, M.D. grew up in East Montpelier, Vermont. He graduated from Wesleyan University and the University of Vermont College of Medicine. He completed his residency at the University of Vermont Medical Center. Aaron, his wife Eliza, and their growing family live in Fairfax VT. In his spare time, Aaron enjoys cooking, reading, gardening, movies and anything outside: hiking, working, and playing with his family.


P.M. Costello, M.D.

P.M. Costello, M.D. did his undergraduate work and medical school at the University of Vermont. He completed his internship at the University of Kentucky and residency at the Medical Center of Vermont (now Fletcher Allen Health Care). Dr. Costello and his wife, Paula, have three children. In his free time, he enjoys running, sailing, skiing and golf.


Rachel Raabe Destito, APRN

Rachel Raabe Destito, APRN, grew up in Charlotte, VT. She graduated from Cornell University with a degree in Hotel Administration. Rachel worked as a pastry chef before earning a BSN and MSN from the University of Vermont. She is a certified Family Nurse Practitioner. Rachel lives in Shelburne with her husband, three children and two dogs.

Steve Hale, M.D.

Steve Hale, M.D. attended the University of North Carolina at Chapel Hill for both his undergraduate degree and medical school. He completed his residency at the Medical Center of Vermont (now UVM Medical Center). He has four children and enjoys basketball and outdoor activities, particularly hiking and camping.


Sandra Kapsalis, M.D.

Sandra Kapsalis, M.D. grew up in Shelburne before attending Bates College in Maine. She returned to Vermont for medical school at the University of Vermont and residency training at Fletcher Allen Health Care (now UVM Medical Center), where she was chief resident. Dr. Kapsalis has two children and enjoys soccer, skiing and a variety of outdoor activities with her family and their dog.


Kristen Massingham, DNP, APRN

Kristen Massingham, DNP, APRN, grew up in Underhill, VT. She completed her undergraduate education at Skidmore College with a degree in chemistry. She received her BS in nursing, MS and DNP from Columbia University School of Nursing. She is a Pediatric Nurse Practitioner. In her free time, she enjoys running and playing field hockey, lacrosse and golf.


Meredith Monahan, M.D.

Meredith Monahan, M.D. graduated from Brown University and the University of Arizona Medical School. She completed her pediatrics residency and chief resident year at Fletcher Allen Health Care. Dr Monahan enjoys traveling and spending time outdoors with her husband and two sons.


David Stifler, M.D.

Dr. Stifler retired in the summer of 2018 after 38 years!

David Stifler, M.D. graduated from Amherst College and Georgetown Medical School. He completed his residency at the Medical Center Hospital of Vermont (now Fletcher Allen Health Care) and additional training in child development at Boston Children’s Hospital. Dr. Stifler has two children and lives in Essex with his wife, Mary. He enjoys gardening, biking and skiing.

David Stifler

Essex Pediatrics Staff

The wonderful people who work in our office are our greatest strength.