NPIMap

Individual provider Active NPI

Elizabeth A Wetzel, DO

  • Family Medicine Physician
  • Cassopolis, MI
National Provider Identifier
1881634566
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101011724 Issued in MI
Practice address
261 M 62
Cassopolis, MI 49031-1034
Phone
(269) 445-3874
Fax
(269) 445-1930
NPI assigned
Jun 8, 2006
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02002169A IN
Family Medicine Physician 207Q00000X 5101011724 MI Primary

Addresses

Primary practice location

261 M 62
Cassopolis, MI 49031-1034

Mailing address

261 M 62
Cassopolis, MI 49031-1034
Phone (269) 445-3874

Other identifiers 1

IdentifierTypeStateIssuer
200260320BMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141224000272 MI Practitioner - Family Practice 0941213367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Immediate Care CenterGroup PAC ID 2264423771, 23 clinicians

Practice addresses (Care Compare)

1951 Oak St
Niles, MI 49120-3738
Phone (269) 262-4749

261 M
Cassopolis, MI 49031

261 M
Cassopolis, MI 49031-1034
Phone (269) 445-3874

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02002169AINMDFamily Medicine Physician
5101011724MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Immediate Care Center CurrentSince Nov 12, 2014 Accepting new patients
Lakeland Immediate Care Center Family Medicine CurrentSince Nov 12, 2014 Accepting new patients
Saint Joseph Community Hospital of Mishawaka Past Accepting new patients
County of Cass Past Accepting new patients

Locations

261 M 62
Cassopolis, MI 49031
Phone (269) 445-3874

1951 Oak St
Niles, MI 49120
Phone (269) 262-4749

24 N Saint Joseph Ave
Ste G
Niles, MI 49120
Phone (213) 232-5630

Interoperability endpoints

  • Direct secure messaging: ewetzel1272610@epic00.shdirect.org
  • Direct secure messaging: ewetzel19478@lakeland.midirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1881634566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 M 62",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490311034",
            "telephone_number": "269-445-3874",
            "fax_number": "269-445-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 M 62",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490311034",
            "telephone_number": "269-445-3874",
            "fax_number": "269-445-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02002169A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101011724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200260320B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cassopolis, MI

Sources for this page

Verify at the official NPI Registry.