Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jersey Rae Mettille, DO

Individual provider Anesthesiology Physician · NPI 1164927869

Dr. Jersey Rae Mettille, DO is an Anesthesiology in Louisville, Kentucky. Graduated from Philadelphia Col of Osteo Med, Sewanee in 2018, 8 years ago. Practices with University of Louisville Physicians Inc, a 1,433-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
8
Trained at
Philadelphia Col of Osteo Med, Sewanee
Licensed in
KY
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

530 S Jackson St
Louisville, KY 40202-1675
Phone: (502) 852-5851
Fax: (502) 852-3762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 05256 (KY)

Record details

NPI number1164927869
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolPHILADELPHIA COL OF OSTEO MED, SEWANEE
Graduated 2018 (8 years in practice)
Group practice University Of Louisville Physicians Inc — 1433 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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