Individual provider Active NPI

Caroline W Wiltshire, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • River Edge, NJ
National Provider Identifier
1508608746
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15141300 Issued in NJ
Practice address
887 Kinderkamack Rd
River Edge, NJ 07661-2307
Phone
(201) 646-0860
NPI assigned
Jun 10, 2024
Last updated
Nov 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15141300 NJ Primary
Registered Nurse 163W00000X 26NR14967900 NJ

Addresses

Primary practice location

887 Kinderkamack Rd
River Edge, NJ 07661-2307

Mailing address

887 Kinderkamack Rd
River Edge, NJ 07661-2307
Phone (201) 464-0860

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250214001129 NJ Practitioner - Nurse Practitioner 3971033366 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moonshot Psychiatric Nurse Practitioner PCGroup PAC ID 9335589696, 79 clinicians
Evergreen Medical Group PCGroup PAC ID 2769929082, 13 clinicians

Practice addresses (Care Compare)

79 Hall Rd
Chatham, NJ 07928-1754
Phone (855) 444-7258

887 Kinderkamack Rd
Suite 2
River Edge, NJ 07661-2307
Phone (201) 791-7771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR14967900NJMDRegistered Nurse
26NJ15141300NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Medical Group PC Psychiatric/Mental Health CurrentSince Aug 28, 2025 Accepting new patients
Moonshot Psychiatric Nurse Practitioner PC Psychiatric/Mental Health CurrentSince Nov 29, 2024 Accepting new patients
TMR Mental Health Care PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

31-00 Broadway
Fair Lawn, NJ 07410
Phone (201) 791-7771

835 Main St
Hackensack, NJ 07601
Phone (201) 342-8266

861 Main St
Hackensack, NJ 07601
Phone (201) 212-5733

861 Main St
#1
Hackensack, NJ 07601
Phone (201) 528-5757

887 Kinderkamack Rd
Ste 2
River Edge, NJ 07661
Phone (201) 464-0860

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1508608746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 KINDERKAMACK RD",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612307",
            "telephone_number": "201-464-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 KINDERKAMACK RD",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612307",
            "telephone_number": "201-646-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTSHIRE",
        "first_name": "CAROLINE",
        "middle_name": "W",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15141300",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR14967900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Edge, NJ

Sources for this page

Verify at the official NPI Registry.