Individual provider Active NPI

Monica Lynn Mettille, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1538599253
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5470 Issued in AZ
Practice address
2260 W Orange Grove Rd
Tucson, AZ 85741-3117
Phone
(520) 795-5830
Fax
(520) 885-4469
NPI assigned
Nov 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5470 AZ Primary

Addresses

Primary practice location

2260 W Orange Grove Rd
Tucson, AZ 85741-3117

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Phone (520) 795-5830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131226000776 AZ Practitioner - Physician Assistant 8628205473 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Urology Specialists PLLCGroup PAC ID 5092863852, 84 clinicians
Neurological Associates of TucsonGroup PAC ID 5092709527, 60 clinicians

Practice addresses (Care Compare)

2260 W Orange Grove Rd
Tucson, AZ 85741-3117
Phone (520) 795-5830

2450 E River Rd
Tucson, AZ 85718-6526
Phone (520) 795-7750

2530 E Southern Ave
Mesa, AZ 85204-5411
Phone (602) 222-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5470AZMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Urology, PC Current Accepting new patients
Neurological Associates of Tucson CurrentSince Feb 2, 2026 Accepting new patients

Locations

2115 W 16th St
Safford, AZ 85546
Phone (520) 689-7022

2450 E River Rd
Tucson, AZ 85718
Phone (520) 795-7750

2450 E River Rd
Ste 180
Tucson, AZ 85718

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

Interoperability endpoints

  • Direct secure messaging: monicamettille@fu.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1538599253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366",
            "telephone_number": "520-795-5830",
            "fax_number": "520-885-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 W ORANGE GROVE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413117",
            "telephone_number": "520-795-5830",
            "fax_number": "520-885-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METTILLE",
        "first_name": "MONICA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.