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

Mr. David J Etzel, CNP

Individual provider Nurse Practitioner · NPI 1881999555

Mr. David J Etzel, CNP is a Nurse Practitioner in Shelby, Ohio. Qualified in 2010, 16 years ago. Practices with Third Street Community Clinic, Inc, a 28-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
16
Licensed in
OH
In the registry since
2011
Specialties on file
3
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

31 E Main St
Shelby, OH 44875-1262
Phone: (419) 525-6795
Fax: (419) 525-6723
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 W. Third Street, Mansfield, OH 44906-2633 — (419) 522-6191

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP12090 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence 12090-NP (OH)
Community Health Nurse Practitioner Taxonomy 363LC1500X · Licence 12090-NP (OH)

Record details

NPI number1881999555
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedJanuary 11, 2011
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Third Street Community Clinic, Inc. — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shelby