Doctor profile · Federal record
Dr. KAITLIN ETZCORN, NP-C
Family Nurse Practitioner (CMS: NURSE PRACTITIONER) · Orthopedic Registered Nurse · FORT WAYNE, IN
- NPI 1972106847
- Accepts Medicare
- 6 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5050 N CLINTON ST
FORT WAYNE, IN 468255886
(260) 484-8551 - Mailing address
-
10227 GREENMOOR DR
NEW HAVEN, IN 467742287
Credentials & registration
- NPI registered
- November 2020 — 6 yrs on file
- Profile last updated
- August 13, 2021
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State licenses (2)
- Indiana #71011071A · Indiana #28197283A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1972106847. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
69
Distinct HCPCS
3
Medicare allowed
$5,680
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 30 | 20 | $71 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 26 | 25 | $103 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 13 | 13 | $65 |
In context: peer comparison
Among 86 peers in this city , average services per provider: 110. This provider delivers 0.6× the peer median.Open Payments
Industry payments received
All-time total
$40
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Stryker Corporation | 1 | $40.02 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
32
Patients
29
Total drug cost
$341
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 17 | 17 | $228 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 15 | 12 | $113 |