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

Kaitlin Etzcorn, NP-C

Individual provider Orthopedic Registered Nurse · NPI 1972106847

Kaitlin Etzcorn, NP-C is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2020, 6 years ago. Practices with Orthopaedics Northeast PC, a 79-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone: (260) 484-8551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71011071A (IN)
Orthopedic Registered Nurse Taxonomy 163WX0800X · Licence 28197283A (IN)

Record details

NPI number1972106847
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedNovember 20, 2020
Last updated in NPPESAugust 13, 2021
Certification dateAugust 13, 2021
Mailing address10227 Greenmoor Dr, New Haven, IN 46774-2287

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Orthopaedics Northeast Pc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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