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

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: October 25, 2026.

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

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

Willow Integrative Wellness
Same address
Mental Health (Including Community Mental Health Center)
216 E RIDGEWOOD AVE STE 3B
Ridgewood, NJ 07450
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1225825490 (201) 637-4345
Wayne Behavioral Service, LLC
4.9 mi
Psychiatry
401 HAMBURG TPKE, STE. 302
Wayne, NJ 07470
  • Reassigned Medicare billing, New Jersey enrollment
  • 53 clinicians in this Medicare group
NPI 1487677795 (973) 790-9222

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 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.

Which organizations bill Medicare for Kimberly Meserole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Meserole reassigns Medicare benefits to 2 organizations: Willow Integrative Wellness (Ridgewood, NJ) and Wayne Behavioral Service, LLC (Wayne, 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 Kimberly Meserole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Meserole accept?

Health plans from Oscar Health list Kimberly Meserole 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 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 9 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.