KIMBERLY MICHELLE ZELASKO APRN, PMHNP
NPI 1871847558
Nurse Practitioner - Psychiatric/Mental Health in Newark, OH

Active since November 02, 2012PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 5, 2024, Jun 10, 2024, Apr 23, 2024 and 3 more (6 updates tracked since 2021).

About Kimberly Michelle Zelasko Aprn, Pmhnp NPPES

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

KIMBERLY MICHELLE ZELASKO APRN, PMHNP (NPI 1871847558) is an individual psychiatric/mental health provider in Newark, Ohio, licensed in Ohio (0033029) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Broadview Heights, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1871847558
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIMBERLY MICHELLE ZELASKOCredential: APRN, PMHNP
Location Address59 GRANT STNewark, OH 43055-3939
Mailing Address29 W North Broadway StColumbus, OH 43214-4015 · (614) 477-0514
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 2, 2012
Last NPPES UpdateNovember 5, 20246 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1871847558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · 0033029
Also ListedRegistered NurseTaxonomy 163W00000X · License 363810 (OH)
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License 363810 (OH)
59 GRANT ST, Newark, OH 43055

Secondary Practice Location 1

Location 15718 W Mill RdBroadview Heights, OH 44147-2141 · Phone (440) 240-2297

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Michelle Zelasko Aprn, Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749638880
PECOS Enrollment IDI20231129002849
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 Zelasko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
800 MARKET AVE N STE 1600
Canton, OH 44702
  • Reassigned Medicare billing, Ohio enrollment
  • 130 clinicians in this Medicare group
Psychiatric/Mental Health
9049 SPRINGBORO PIKE
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 84 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 43055 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

Counselor (Mental Health)
59 GRANT ST
NEWARK, OH 43055
Community Health Worker
59 GRANT ST
NEWARK, OH 43055
Community Health Worker
59 GRANT ST
NEWARK, OH 43055
Social Worker
59 GRANT ST
NEWARK, OH 43055
Community Health Worker
59 GRANT ST
NEWARK, OH 43055
Community Health Worker
59 GRANT ST
NEWARK, OH 43055
Case Manager/Care Coordinator
59 GRANT ST
NEWARK, OH 43055
Counselor (Mental Health)
59 GRANT ST
NEWARK, OH 43055

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 Zelasko's NPI number?

The NPI number for Kimberly Zelasko is 1871847558. It was assigned to this individual provider in the NPPES registry on November 2, 2012.

Where is Kimberly Zelasko located?

Kimberly Zelasko practices at 59 Grant St, Newark, OH 43055. The listed phone number is (740) 404-3446.

What is Kimberly Zelasko's specialty?

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

Is Kimberly Zelasko enrolled in Medicare?

Yes. Kimberly Zelasko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kimberly Zelasko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Zelasko reassigns Medicare benefits to 2 organizations: National Youth Advocate Program, Inc (Canton, OH) and Woodstream Wellness (Miamisburg, OH). 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 Zelasko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Zelasko accept?

Health plans from Molina Healthcare list Kimberly Zelasko 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 Zelasko was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.