Individual provider Active NPI

Caitlin Marie Etzler

  • Family Nurse Practitioner
  • Flushing, MI
National Provider Identifier
1730041039
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704341403 Issued in MI
Practice address
218 W Main St Ste 300
Flushing, MI 48433-2032
Phone
(989) 720-7569
Fax
(989) 720-7571
NPI assigned
Nov 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704341403 MI Primary

Addresses

Primary practice location

218 W Main St Ste 300
Flushing, MI 48433-2032

Mailing address

218 W Main St Ste 300
Flushing, MI 48433-2032
Phone (989) 720-7569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

113 E Williams St
Owosso, MI 48867-2360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704341403MIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1730041039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W MAIN ST STE 300",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332032",
            "telephone_number": "989-720-7569",
            "fax_number": "989-720-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W MAIN ST STE 300",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332032",
            "telephone_number": "989-720-7569",
            "fax_number": "989-720-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETZLER",
        "first_name": "CAITLIN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-25",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704341403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

Verify at the official NPI Registry.