MRS. PAULINA MMEREOLE APN
NPI 1083029656
Nurse Practitioner - Pediatrics in West New York, NJ

Active since June 23, 2014PECOS Enrolled
6101 KENNEDY BLVD E, STE 1, WEST NEW YORK, NJ 07093(201) 448-2804 Get Directions Write a Review

NPPES record last updated: May 2, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Paulina Mmereole Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. PAULINA MMEREOLE APN (NPI 1083029656) is an individual pediatrics provider in West New York, New Jersey, licensed in New Jersey (26NJ00504700) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083029656
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. PAULINA MMEREOLECredential: APN
Location Address6101 KENNEDY BLVD E, STE 1West New York, NJ 07093-3902
Mailing Address6101 Kennedy Blvd EWest New York, NJ 07093-3902 · (201) 448-2804
Sole ProprietorNo
Enumeration DateJune 23, 2014
Last NPPES UpdateMay 2, 2017
✔ NPI 1083029656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NJ · 26NJ00504700
6101 KENNEDY BLVD E, West New York, NJ 07093

Other Identifiers 1

Medicaid0420964NJ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Paulina Mmereole Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Paulina Mmereole reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
Internal Medicine
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 428 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
6101 KENNEDY BLVD E, SUITE 1
WEST NEW YORK, NJ 07093
Family Medicine
6101 KENNEDY BLVD E, STE 1
WEST NEW YORK, NJ 07093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paulina Mmereole's NPI number?

The NPI number for Paulina Mmereole is 1083029656. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Paulina Mmereole located?

Paulina Mmereole practices at 6101 Kennedy Blvd E Ste 1, West New York, NJ 07093. The listed phone number is (201) 448-2804.

What is Paulina Mmereole's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Paulina Mmereole enrolled in Medicare?

Yes. Paulina Mmereole is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paulina Mmereole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paulina Mmereole reassigns Medicare benefits to 2 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ) and Rwjbh Primary Care Services (West Orange, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paulina Mmereole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paulina Mmereole accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Paulina Mmereole as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paulina Mmereole was last updated on May 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.