Doctor profile · Federal record
Dr. Kimberly Mettetal, C.F.N.P. Cpmhnp
Psychiatric/Mental Health Nurse Practitioner (CMS: Nurse Practitioner) · Family Nurse Practitioner · Psychiatric/Mental Health Nurse Practitioner · Psychiatric/Mental Health Nurse Practitioner · Psychiatric/Mental Health Nurse Practitioner · Psychiatric/Mental Health Nurse Practitioner · Psychiatric/Mental Health Nurse Practitioner · Psychiatric/Mental Health Nurse Practitioner · Southaven, MS
- NPI 1194911453
- Accepts Medicare
- 27 yrs in practice
- Licensed in 7 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 9 locations across 7 states.
- Primary practice
-
8626 Airways Blvd
Southaven, MS 386712603
(662) 772-5937
fax (662) 772-5940
Wisconsin — 2 locations
- Additional location
-
1629 E Division St
River Falls, WI 540221571
(715) 307-6000 - Additional location
-
700 S Park St
Madison, WI 537151830
(608) 251-6100
Texas — 1 location
- Additional location
-
2001 S Medford Dr
Lufkin, TX 759016260
(936) 639-1141
fax (936) 634-8601
Minnesota — 1 location
- Additional location
-
4050 Coon Rapids Blvd Nw
Coon Rapids, MN 554332522
(763) 236-6000
Mississippi — 1 location
- Additional location
-
311 E Main St
Senatobia, MS 386682215
Oregon — 1 location
- Additional location
-
1015 Nw 22Nd Ave
Portland, OR 972103025
(503) 413-7711
Washington — 1 location
- Additional location
-
2211 Ne 139Th St
Vancouver, WA 986862742
(360) 487-1000
Missouri — 1 location
- Additional location
-
2505 Mission Dr
Jefferson City, MO 651099508
(573) 681-3000
Credentials & registration
- NPI registered
- September 2007 — 19 yrs on file
- Profile last updated
- July 14, 2025
- Year of graduation
- 1999 — 27 yrs since
- Specialty taxonomy
- 363LP0808X — NUCC code
- State licenses (7)
- Mississippi #R850409 · Missouri #2018026553 · Washington #AP60842248 · Wisconsin #8391-33 · Oregon #2018 · Minnesota #5816 · Texas #AP136974
- Medicaid (2)
- MS #06787540 · TX #382605901
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1194911453. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
80
Distinct HCPCS
2
Medicare allowed
$4,642
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 58 | 35 | $49 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 22 | 22 | $81 |
In context: peer comparison
Among 5 peers in this city , average services per provider: 132. This provider delivers 0.6× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
1,774
Patients
458
Total drug cost
$40,656
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trazodone Hcl | Generic | 211 | 64 | $2,709 |
| Duloxetine Hcl | Generic | 151 | 33 | $3,325 |
| Buspirone Hcl | Generic | 147 | 32 | $1,559 |
| Quetiapine Fumarate | Generic | 146 | 37 | $2,877 |
| Olanzapine | Generic | 131 | 36 | $6,760 |
| Gabapentin | Generic | 116 | 29 | $2,691 |
| Mirtazapine | Generic | 116 | 30 | $1,359 |
| Bupropion Xl (Bupropion Hcl) | Brand | 112 | 30 | $2,091 |
| Hydroxyzine Pamoate | Generic | 106 | 28 | $1,791 |
| Risperidone | Generic | 103 | 32 | $1,576 |
Frequently asked questions
What is Dr. Kimberly Mettetal's medical specialty?
Dr. Kimberly Mettetal practices Psychiatric/Mental Health Nurse Practitioner in Southaven, MS.
Where does Dr. Kimberly Mettetal practice?
Dr. Kimberly Mettetal practices at 8626 Airways Blvd, Southaven, MS 386712603. Office phone: 6627725937.
What is Dr. Kimberly Mettetal's NPI?
Dr. Kimberly Mettetal's National Provider Identifier (NPI) is 1194911453, issued by NPPES.
Does Dr. Kimberly Mettetal accept Medicare assignment?
Yes. Dr. Kimberly Mettetal accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kimberly Mettetal commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.