KIMBERLY COLANGELO (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1659902831
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
17,004 NURSE PRACTITIONER in NY
Provider Addresses for KIMBERLY COLANGELO (PMHNP)
622 W 168TH ST
NEW YORK, NY 100323720
Phone: (212) 305-8072
Type: Mailing
1550 PARK AVE STE 102
SOUTH PLAINFIELD, NJ 070805565
Phone: (609) 594-5827
Type: Mailing
710 Forest Ave
Staten Island, NY 103102520
Phone: (347) 464-5550
Fax: (347) 464-5550
Type: Location
4349 HYLAN BLVD
STATEN ISLAND, NY 103126501
Phone: (718) 317-5522
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 90 Open Payments records for all available years, with a total value of $1,749.
Total Amount is formed as General ($1,749) + Research ($0) + Ownership ($0) = $1,749.
Last reported payment date: 2024-03-21 • Largest payer in this snapshot: ABBVIE INC. ($545).
Total Amount
$1,749
General + Research + Ownership
Payments
90
Total payment records
General Amount
$1,749
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $545 |
| ITI, Inc. | $297 |
| Teva Pharmaceuticals USA, Inc. | $197 |
| Otsuka America Pharmaceutical, Inc. | $132 |
| Alkermes, Inc. | $129 |
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: 2022-05-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20220524000068 | I | Nurse Practitioner | NY | 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 10032)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | NJ |
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