Kimberly Meserole, PMHNP-BC - Medicare Nurse Practitioner in Ridgewood, NJ

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Kimberly Meserole, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Ridgewood, New Jersey. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 216 E Ridgewood Ave Ste 3b, Ridgewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (551) 288-6543.

Kimberly Meserole is licensed to practice in New Jersey (license number 26NJ15425100) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1104792548.

Contact Information

Kimberly Meserole, PMHNP-BC
216 E Ridgewood Ave Ste 3b,
Ridgewood, NJ 07450-3849
(551) 288-6543
(551) 212-3041

Map and Direction




Provider's Profile

Full NameKimberly Meserole
GenderFemale
SpecialityNurse Practitioner
Experience1 Years
Location216 E Ridgewood Ave Ste 3b, Ridgewood, New Jersey
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly Meserole graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1104792548
  • Provider Enumeration Date: 10/14/2025
  • Last Update Date: 01/26/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9436644820
  • Enrollment ID: I20251223002101

Medical Identifiers

Medical identifiers for Kimberly Meserole such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104792548NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ15425100 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Meserole allows following entities to bill medicare on her behalf.
Entity NameWayne Behavioral Service LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487677795
PECOS PAC ID: 8820097561
Enrollment ID: O20061207000159
Entity NameWillow Integrative Wellness
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225825490
PECOS PAC ID: 0042710279
Enrollment ID: O20250822001277

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Meserole is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Meserole, PMHNP-BC
216 E Ridgewood Ave Ste 3b,
Ridgewood, NJ 07450-3849

Ph: Not Available		Kimberly Meserole, PMHNP-BC
216 E Ridgewood Ave Ste 3b,
Ridgewood, NJ 07450-3849

Ph: (551) 288-6543

Reviews and Comments


Nurse Practitioner Nurses in Ridgewood, NJ

Jennifer Polizzano, APN-C
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Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450
Phone: 201-447-8345    Fax: 201-447-8103
Kelly Rumler, APN-C
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Phone: 201-612-1006    Fax: 201-612-1091
Kimberly Michele Pryslak, NP
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Practice Location: 1200 E Ridgewood Ave Ste 208, Ridgewood, NJ 07450
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Mary Catherine Collins, NURSE PRACTITIONER
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Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450
Phone: 201-447-8371    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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