SUSAN M METTILLE PA-C
NPI 1790727410
Physician Assistant in Peoria, IL
About Susan M Mettille Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN M METTILLE PA-C (NPI 1790727410) is an individual physician assistant in Peoria, Illinois and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
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
Susan M Mettille Pa-c 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.
Areas of Expertise CMS Part B claims 3
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Francis Medical Center
Acute Care Hospitals · Peoria, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEORIA, IL 61604
PEORIA, IL 61604
PEORIA, IL 61604
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 Susan Mettille's NPI number?
The NPI number for Susan Mettille is 1790727410. It was assigned to this individual provider in the NPPES registry on June 11, 2006.
Where is Susan Mettille located?
Susan Mettille practices at 2805 N Knoxville Ave, Peoria, IL 61604. The listed phone number is (309) 624-9400.
What is Susan Mettille's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Susan Mettille enrolled in Medicare?
Yes. Susan 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.
Is Susan Mettille affiliated with any hospitals?
According to CMS data, Susan Mettille is affiliated with Saint Francis Medical Center.
When was this NPI record last updated?
The NPPES record for Susan Mettille was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Susan M Mettille, PA-C · NPI 1790727410
Physician Assistant physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since June 11, 2006.
## Identity
- **NPI:** 1790727410 (Entity type: Individual)
- **Enumerated:** June 11, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2805 N KNOXVILLE AVE, Peoria, IL 61604-2869
- **Phone:** (309) 624-9400 · **Fax:** (309) 624-2280
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** February 19, 2008
- **Other identifiers:** Medicare PIN K05923 (IL); Medicare UPIN Q13529 (IL); Medicare PIN K47713 (IL); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1790727410) · Data from the CMS NPPES public registry.