KIMBERLY MESEROLE PMHNP-BC
NPI 1104792548
Nurse Practitioner - Psychiatric/Mental Health in Ridgewood, NJ

Q: What is Kimberly Meserole's NPI number?

The NPI number for Kimberly Meserole is 1104792548. It was assigned to this individual provider in the NPPES registry on October 14, 2025.

Q: What is Kimberly Meserole's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Meserole was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since October 14, 2025PECOS Enrolled

216 E RIDGEWOOD AVE STE 3B, RIDGEWOOD, NJ 07450(551) 288-6543(551) 212-3041 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimberly Meserole Pmhnp-bc NPPES

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

KIMBERLY MESEROLE PMHNP-BC (NPI 1104792548) is an individual psychiatric/mental health provider in Ridgewood, New Jersey, licensed in New Jersey (26NJ15425100) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104792548

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKIMBERLY MESEROLECredential: PMHNP-BC

Location Address216 E RIDGEWOOD AVE STE 3BRidgewood, NJ 07450-3849

Mailing Address216 E Ridgewood Ave Ste 3bRidgewood, NJ 07450-3849

Phone(551) 288-6543

Fax(551) 212-3041

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 14, 2025

Last NPPES UpdateJanuary 26, 2026

NPPES CertifiedJanuary 26, 2026

✔ NPI 1104792548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NJ · 26NJ15425100

216 E RIDGEWOOD AVE STE 3B, Ridgewood, NJ 07450

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Meserole Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436644820

PECOS Enrollment IDI20251223002101

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07450 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.

EMILY COYLE APN

Nurse Practitioner (Psychiatric/Mental Health)

216 E RIDGEWOOD AVE STE 3B
RIDGEWOOD, NJ 07450

Bergen County (551) 288-6543

WILLOW INTEGRATIVE WELLNESS

Clinic/Center (Mental Health (Including Community Mental Health Center))

216 E RIDGEWOOD AVE STE 3B
RIDGEWOOD, NJ 07450

Bergen County (201) 637-4345

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 Kimberly Meserole's NPI number?

The NPI number for Kimberly Meserole is 1104792548. It was assigned to this individual provider in the NPPES registry on October 14, 2025.

Where is Kimberly Meserole located?

Kimberly Meserole practices at 216 E Ridgewood Ave Ste 3B, Ridgewood, NJ 07450. The listed phone number is (551) 288-6543.

What is Kimberly Meserole's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kimberly Meserole enrolled in Medicare?

Yes. Kimberly Meserole is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Meserole was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.