SHAYLICE MICHELLE MESEROLE (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1912372350
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHAYLICE MICHELLE MESEROLE (APRN)
100 CLARK AVE
BRANFORD, CT 064054730
Phone: (312) 696-9321
Type: Mailing
415 MAIN ST
WEST HAVEN, CT 065164296
Phone: (203) 931-1184
Type: Location
22 SELDEN ST
WOODBRIDGE, CT 065252218
Phone: (312) 696-9321
Fax: (203) 971-5497
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-02-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170307000641 | I | Nurse Practitioner | IN | TBD |
| I20200804001665 | I | Nurse Practitioner | MI | TBD |
| I20210210001142 | I | Nurse Practitioner | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CT |
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