DR. JERSEY RAE METTILLE DO
NPI 1164927869
Anesthesiology in Louisville, KY
About Dr. Jersey Rae Mettille Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JERSEY RAE METTILLE DO (NPI 1164927869) is an individual anesthesiology provider in Louisville, Kentucky, licensed in Kentucky (05256) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Philadelphia Col Of Osteo Med, Sewanee (2018).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jersey Rae Mettille Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jersey Mettille reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Louisville, KY 40202
- Reassigned Medicare billing, Kentucky enrollment
- Medicare enrollment name: University Of Louisville Physicians Inc
- 2,337 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jewish Hospital & St Mary's Healthcare
Acute Care Hospitals · Louisville, KYNorton Hospitals, Inc
Acute Care Hospitals · Louisville, KYUniversity Of Louisville Hospital
Acute Care Hospitals · Louisville, KYMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jersey Mettille's NPI number?
The NPI number for Jersey Mettille is 1164927869. It was assigned to this individual provider in the NPPES registry on March 26, 2018.
Where is Jersey Mettille located?
Jersey Mettille practices at 530 S Jackson St, Louisville, KY 40202. The listed phone number is (502) 852-5851.
What is Jersey Mettille's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Jersey Mettille enrolled in Medicare?
Yes. Jersey Mettille is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jersey Mettille's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jersey Mettille reassigns Medicare benefits to University Of Louisville Phyisicians, Inc. (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jersey Mettille's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jersey Mettille affiliated with any hospitals?
According to CMS data, Jersey Mettille is affiliated with Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc and University Of Louisville Hospital.
When was this NPI record last updated?
The NPPES record for Jersey Mettille was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jersey Rae Mettille, DO · NPI 1164927869
Anesthesiology physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since March 26, 2018.
## Identity
- **NPI:** 1164927869 (Entity type: Individual)
- **Enumerated:** March 26, 2018
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 05256 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 530 S JACKSON ST, Louisville, KY 40202-1675
- **Phone:** (502) 852-5851 · **Fax:** (502) 852-3762
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Louisville Phyisicians, Inc. (NPI 1336707512, Louisville, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia Col Of Osteo Med, Sewanee, class of 2018
## Record status
- **NPPES last updated:** July 18, 2022
- **Other identifiers:** Medicaid 7100821040 (KY); Medicaid 300064094 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1164927869) · Data from the CMS NPPES public registry.