JENNIFER METTLING – Family Medicine Physician, NPI 1629643424

JENNIFER METTLING is a healthcare provider. based in Wichita, Kansas. specializing in FAMILY PRACTICE. They hold a License No. 94-10483 (KS). The NPI Number for JENNIFER METTLING is 1629643424

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER METTLING
NPI
1629643424
Phone
(316) 293-2665
Address
1010 N KANSAS ST
Enumeration Date
24 May 2021
Last Update Date
24 May 2021

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
6202782123
Graduation Year
2021 (5 years ago)
PAC ID
5496159519
Group Practice PAC ID
0648175042
Professional Enrollment ID
I20241004000427
Address ID
KS675791916ST239XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

Provider Addresses for JENNIFER METTLING

  • 1010 N KANSAS ST

    WICHITA, KS 672143124

    Phone: (316) 293-2665

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($25).

Total Amount

$57

General + Research + Ownership

Payments

3

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241004000427IFamily PracticeKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67214)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648175042View full group profile
NameSpecialtyState
Nurse PractitionerKS
Nurse PractitionerKS
Nurse PractitionerKS
Nurse PractitionerKS
Family PracticeKS
Family PracticeKS
Family PracticeKS
Family PracticeWA
-KS
Physician AssistantIA

Reviews

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Frequently asked questions

How is JENNIFER METTLING identified in CMS data?
CMS-hosted NPPES data lists JENNIFER METTLING with NPI 1629643424.
Is JENNIFER METTLING still practicing?
JENNIFER METTLING is currently listed as active in the public NPI registry.
What is JENNIFER METTLING's primary classification?
Family Medicine Physician is the headline specialty for JENNIFER METTLING here. Clinical services aligned with this taxonomy classification.
Where should I expect JENNIFER METTLING on a map?
Expect Wichita, Kansas as a primary anchor for JENNIFER METTLING unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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