DR. MARISA CARMEN METILDI MD
NPI 1265060685
Student in an Organized Health Care Education/Training Program in Jackson, MS
About Dr. Marisa Carmen Metildi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARISA CARMEN METILDI MD (NPI 1265060685) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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. Marisa Carmen Metildi Md 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 Reassignments
2Medicare enrollment records show Marisa Metildi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Port Gibson, MS 39150
- Reassigned Medicare billing, Mississippi enrollment
- 69 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Mississippi Med Center
Acute Care Hospitals · Jackson, MSMerit Health Madison
Acute Care Hospitals · Canton, MSUniversity Of Mississippi Medical Center- Grenada
Acute Care Hospitals · Grenada, MSHolmes County Hospital And Clinics
Critical Access Hospitals · Lexington, MSOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39216
JACKSON, MS 39216
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 Marisa Metildi's NPI number?
The NPI number for Marisa Metildi is 1265060685. It was assigned to this individual provider in the NPPES registry on March 31, 2020.
Where is Marisa Metildi located?
Marisa Metildi practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 815-1779.
What is Marisa Metildi's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Marisa Metildi enrolled in Medicare?
Yes. Marisa Metildi 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 organizations bill Medicare for Marisa Metildi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Metildi reassigns Medicare benefits to 2 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS) and Claiborne County Hospital (Port Gibson, MS). Each 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 Marisa Metildi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Marisa Metildi affiliated with any hospitals?
According to CMS data, Marisa Metildi is affiliated with University Of Mississippi Med Center, Merit Health Madison, University Of Mississippi Medical Center- Grenada and Holmes County Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for Marisa Metildi was last updated on March 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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. Marisa Carmen Metildi, MD · NPI 1265060685
Student in an Organized Health Care Education/Training Program provider in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since March 31, 2020.
## Identity
- **NPI:** 1265060685 (Entity type: Individual)
- **Enumerated:** March 31, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 815-1779
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS); Claiborne County Hospital (NPI 1710238324, Port Gibson, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 31, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1265060685) · Data from the CMS NPPES public registry.