Kimberly Gwen Mettetal, C.F.N.P. CPMHNP
NPI 1194911453ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Southaven, MS
Nurse Practitioner, Psych/Mental Health (C.F.N.P. CPMHNP) with The Gulf Coast Center, practicing in Southaven, Mississippi. Their prescriptions cost Medicare Part D more than their services did: $985,349 for 3,762 claims, against $6,695 paid for services in 2024.
Overview
| NPI | 1194911453 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | C.F.N.P. CPMHNP |
| Sole proprietor | No |
| NPI issued | Sep 20, 2007 |
| Last updated in NPPES | Jul 14, 2025 |
| Certified by provider | Jul 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | R850409 | MS |
| Nurse Practitioner, Family | 363LF0000X | R850409 | MS |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 2018026553 | MO |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | AP60842248 | WA |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 8391-33 | WI |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 2018 | OR |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 5816 | MN |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | AP136974 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MS); Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 64 |
|---|---|
| Services billed | 169 across 3 procedure codes |
| Paid by Medicare | $6,695 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,762 · 4,543 30-day fills |
|---|---|
| Patients | 217 |
| Total drug cost | $985,349 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- The Gulf Coast CenterTexas City, TX · 23 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other psychiatric nurse practitioners in Southaven
- 1194393603
- 1235619206
- 1437406485
- 1548938764
- 1669253324
- 1760902712
- 1821746140
- 1851916837
- 1225646110
- 1295581486
- 1922726512
- 1972532224
All 34 psychiatric nurse practitioners in Southaven · All psychiatric nurse practitioners in Mississippi