KAITLIN ETZCORN NP-C
NPI 1972106847
Nurse Practitioner - Family in Fort Wayne, IN

Active since November 20, 2020PECOS EnrolledAccepts Medicare Assignment
5050 N CLINTON ST, FORT WAYNE, IN 46825(260) 484-8551 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 13, 2021, Mar 26, 2021, Nov 20, 2020 (3 updates tracked since 2020).

About Kaitlin Etzcorn Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLIN ETZCORN NP-C (NPI 1972106847) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71011071A) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1972106847
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAITLIN ETZCORNCredential: NP-C
Location Address5050 N CLINTON STFort Wayne, IN 46825-5886
Mailing Address10227 Greenmoor DrNew Haven, IN 46774-2287 · (260) 602-7795
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 20, 2020
Last NPPES UpdateAugust 13, 20213 updates tracked since enumeration
NPPES CertifiedAugust 13, 2021
NPI 1972106847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71011071A
Also ListedRegistered Nurse · OrthopedicTaxonomy 163WX0800X · License 28197283A (IN)
5050 N CLINTON ST, Fort Wayne, IN 46825

Other Names 1

Former Name (1)Kaitlin Boester

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kaitlin Etzcorn Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961811815
PECOS Enrollment IDI20210506000860
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
23 services23 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
14 services13 patients
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236
This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150101
Location1260 E Sr 205Columbia City, IN 46725 · Whitley County
Emergency services Birthing friendly

Orthopaedic Hospital At Parkview North

Acute Care Hospitals · Fort Wayne, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150167
Location11130 Parkview Circle DrFort Wayne, IN 46845 · Allen County
Emergency services

Community Hospitals And Wellness Centers

Acute Care Hospitals · Bryan, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360121
Location433 West High StreetBryan, OH 43506 · Williams County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46825 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
5050 N CLINTON ST
FORT WAYNE, IN 46825
Orthopaedic Surgery (Hand Surgery)
5050 N CLINTON ST
FORT WAYNE, IN 46825
Nurse Anesthetist, Certified Registered
5050 N CLINTON ST
FORT WAYNE, IN 46825
Physician Assistant
5050 N CLINTON ST
FORT WAYNE, IN 46825
Specialist/Technologist (Athletic Trainer)
5050 N CLINTON ST
FORT WAYNE, IN 46825
Specialist/Technologist (Athletic Trainer)
5050 N CLINTON ST
FORT WAYNE, IN 46825
Specialist/Technologist (Athletic Trainer)
5050 N CLINTON ST
FORT WAYNE, IN 46825
Specialist/Technologist (Athletic Trainer)
5050 N CLINTON ST
FT WAYNE, IN 46825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlin Etzcorn's NPI number?

The NPI number for Kaitlin Etzcorn is 1972106847. It was assigned to this individual provider in the NPPES registry on November 20, 2020.

Where is Kaitlin Etzcorn located?

Kaitlin Etzcorn practices at 5050 N Clinton St, Fort Wayne, IN 46825. The listed phone number is (260) 484-8551.

What is Kaitlin Etzcorn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kaitlin Etzcorn enrolled in Medicare?

Yes. Kaitlin Etzcorn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kaitlin Etzcorn accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Kaitlin Etzcorn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kaitlin Etzcorn affiliated with any hospitals?

According to CMS data, Kaitlin Etzcorn is affiliated with Parkview Regional Medical Center, Parkview Whitley Hospital, Orthopaedic Hospital At Parkview North and Community Hospitals And Wellness Centers.

When was this NPI record last updated?

The NPPES record for Kaitlin Etzcorn was last updated on August 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.