Kimberly Gwen Mettetal, C.F.N.P. CPMHNP

Nurse Practitioner (CMS) · Southaven, MS

Call (662) 772-5937 Directions

At a glance

8626 Airways Blvd, Southaven, MS 38671-2603

NPPES record updated Jul 14, 2025. Public records can lag behind changes at a practice.

Before you call: a quick checklist

Are you accepting new patients?
Do you accept my specific insurance plan?
Do you provide the service I need at this address?
Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Medicare & insurance

Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.

How to check your coverage

Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.

Check the official Medicare directory ↗

Practice location

8626 Airways Blvd
Southaven, MS 38671-2603

Additional reported practice locations

2505 Mission Dr
Jefferson City, MO 651099508
Phone: 5736813000

311 E Main St
Senatobia, MS 386682215
Phone: 6627725937
Fax: 6627725940

1015 Nw 22Nd Ave
Portland, OR 972103025
Phone: 5034137711

2211 Ne 139Th St
Vancouver, WA 986862742
Phone: 3604871000

4050 Coon Rapids Blvd Nw
Coon Rapids, MN 554332522
Phone: 7632366000

1629 E Division St
River Falls, WI 540221571
Phone: 7153076000

700 S Park St
Madison, WI 537151830
Phone: 6082516100

2001 S Medford Dr
Lufkin, TX 759016260
Phone: 9366391141
Fax: 9366348601

REPORTED BACKGROUND

Education & affiliations

Medical / professional school: Not reported in this file
Graduation year: 1999
CMS specialties: Nurse Practitioner

CMS reports telehealth services for this clinician. Confirm current services and availability with the practice.

Practice groups

The Gulf Coast Center

Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.

Source: CMS National Downloadable File · Published Oct 15, 2026.

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PUBLISHED MEDICARE ACTIVITY

Procedures in the public data

Reported activity can help you ask more informed questions about a practice’s services.

No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.

CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology

Source: CMS Utilization Data · Published Oct 15, 2026.

Find providers with a similar service mix

Compare 2024 published Medicare activity in the same reported specialty, here or in another city.

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PAYMENT TRANSPARENCY

Industry-reported general payments

No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.

Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.

Professional details: NPI, taxonomy & registry record

NPI1194911453

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Registry details

Primary taxonomy: Nurse Practitioner (CMS)
Taxonomy code: 363LP0808X
Enumeration date: Sep 20, 2007
Record updated: Jul 14, 2025

More registry details

Provider type: Individual · Type 1
Other reported name: KIMBERLY G METTETAL
Reported credentials: C.F.N.P. CPMHNP