DR. MARISA CARMEN METILDI MD
NPI 1265060685
Student in an Organized Health Care Education/Training Program in Jackson, MS

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
2500 N STATE ST, JACKSON, MS 39216(601) 815-1779 Get Directions Write a Review

NPPES record last updated: March 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1265060685
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MARISA CARMEN METILDICredential: MD
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 815-1779
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 31, 2020
NPPES CertifiedMarch 31, 2020
NPI 1265060685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2500 N STATE ST, Jackson, MS 39216

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2062947583
PECOS Enrollment IDI20250922000712
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 5

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, MS
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number250001
Location2500 N State StJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Merit Health Madison

Acute Care Hospitals · Canton, MS
OwnershipProprietary
CMS Certification Number250038
Location161 River Oaks DriveCanton, MS 39046 · Madison County
Emergency services

Whitfield Medical Surgical Hospital

Acute Care Hospitals · Whitfield, MS
OwnershipGovernment - State
CMS Certification Number250134
Location3550 Hwy 468 W, Bldg 60Whitfield, MS 39193 · Rankin County

University Of Mississippi Medical Center- Grenada

Acute Care Hospitals · Grenada, MS
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number250168
Location960 Avent DriveGrenada, MS 38901 · Grenada County
Emergency services Birthing friendly

Holmes County Hospital And Clinics

Critical Access Hospitals · Lexington, MS
OwnershipGovernment - State
CMS Certification Number251319
Location239 Bowling Green RoadLexington, MS 39095 · Holmes County
Emergency services

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.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
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.

Is Marisa Metildi affiliated with any hospitals?

According to CMS data, Marisa Metildi is affiliated with University Of Mississippi Med Center, Merit Health Madison, Whitfield Medical Surgical Hospital, 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.