JESSICA NOEL KETTELL PMHNP-BC
NPI 1982320685
Nurse Practitioner - Psychiatric/Mental Health in Decatur, GA

Q: What is Jessica Kettell's NPI number?

The NPI number for Jessica Kettell is 1982320685. It was assigned to this individual provider in the NPPES registry on October 13, 2022.

Q: What is Jessica Kettell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Kettell was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since October 13, 2022PECOS Enrolled

465 WINN WAY STE 221, DECATUR, GA 30030(888) 588-8995 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2026, Jan 7, 2026, Oct 18, 2022 and 1 more (4 updates tracked since 2022).

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About Jessica Noel Kettell Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA NOEL KETTELL PMHNP-BC (NPI 1982320685) is an individual psychiatric/mental health provider in Decatur, Georgia, licensed in Georgia (RN255108) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1982320685

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJESSICA NOEL KETTELLCredential: PMHNP-BC

Location Address465 WINN WAY STE 221Decatur, GA 30030-1723

Mailing Address4279 Roswell Rd Ne Ste 208, Ste 208 #179Atlanta, GA 30342-3705 · (770) 404-6653 · Fax (770) 404-6654

Phone(888) 588-8995

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 13, 2022

Last NPPES UpdateApril 22, 20264 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1982320685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · RN255108

465 WINN WAY STE 221, Decatur, GA 30030

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Secondary Practice Location 1

Location 14300 Paces Ferry Rd SE Ste 500Atlanta, GA 30339-5714 · Phone (770) 404-6653 ext. 101 · Fax (770) 404-6654

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Noel Kettell Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547744963

PECOS Enrollment IDI20260324003446

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY PAUL CAMPANELLA PA - C, CAQ-PSYCH

Physician Assistant