Kimberly Meserole, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ15425100 Issued in NJ

Practice address

216 E Ridgewood Ave Ste 3B
Ridgewood, NJ 07450-3849

Phone

(551) 288-6543

Fax

(551) 212-3041

NPI assigned

Oct 14, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wayne Behavioral Service, LLC

  • Psychiatry Physician
  • Wayne, NJ
  • NPI 1487677795
  Medicare reassignment NPD
• Willow Integrative Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ridgewood, NJ
  • NPI 1225825490
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1104792548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E RIDGEWOOD AVE STE 3B",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E RIDGEWOOD AVE STE 3B",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503849",
            "telephone_number": "551-288-6543",
            "fax_number": "551-212-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESEROLE",
        "first_name": "KIMBERLY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15425100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shireen B Meistrich, LSW
• Bobbie Magee Mele
• Lisa A. Mellman, M.D.
• Melody S. Behnam, MD, PC
• Tamar D Mermelstein, PA-C
• Paula Metzger, LCSW
• MG Physician Assistant PLLC
• Mi Casa Es Su Casa II
• Michael J Sternschein MD,PA
• Midcounty Endodontic Group PA

• Psychiatric/Mental Health Nurse Practitioner in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.