Caitlin C. Oetken is a Medical Physician Assistant practicing in Fort Worth, Texas. The National Provider Identifier (NPI) is #1912390253, which was assigned on March 11, 2015, and the registration record was last updated on September 16, 2025. The practitioner's main practice location is at 4601 Heritage Trace Pkwy, Fort Worth, TX 76244-8905; the contact telephone number is 8174317985. The primary taxonomy of Caitlin C. Oetken is Medical Physician Assistant (363AM0700X), with specialization in Medical. Caitlin C. Oetken is licensed to practice in the state of Texas (#PA12191).
| NPI | 1912390253 |
| Entity Type | Individual |
| Provider Name | CAITLIN C. OETKEN |
| Other Name |
CAITLIN LEIGH CRAIG (Former Name) |
| Gender | Female |
| Credential | PA-C |
| Practice Address |
4601 Heritage Trace Pkwy Fort Worth TX 76244-8905 |
| Practice Telephone | 8174317985 |
| Mailing Address |
4601 Heritage Trace Pkwy Fort Worth TX 76244-8905 |
| Mailing Telephone | 8174317985 |
| Certification Date | 2025-09-16 |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2025-09-16 |
| Is Sole Proprietor | Y |
| PAC ID |
4789902099 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | CAITLIN OETKEN |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Address |
4601 Heritage Trace Pkwy Fort Worth TX 76244-8905 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363AM0700X | Physician Assistant | Medical | PA12191 | TX |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 014517600 | FL | MEDICAID | |
| IC674Z | FL | MCR | Other |
| Y0R0Q | FL | BCBS | Other |
| Address | Telephone | Fax |
|---|---|---|
| 1680 Fm 407, Ste. 120, Northlake, TX 762476201 | 8174317985 | 8174317985 |
| 1801 N Bedell Ave, Del Rio, TX 78840 | 8307689200 |
| Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| Classification | Physician Assistant |
| Specialization | Medical |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Bella Shupp | 2000 Foundation Way, Martinsburg, WV 25401-9003 | Medical Physician Assistant | 2026-06-01 |
| Kiersten Marie Reese | 5850 E Still Cir, Mesa, AZ 85206-3618 | Medical Physician Assistant | 2026-06-03 |
| Julia Therese Donahue | 1120 15th St # 5-North, Augusta, GA 30912-0004 | Medical Physician Assistant | 2026-06-01 |
| Kawsar Arsalan | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | Medical Physician Assistant | 2026-06-03 |
| Makenzi Leeann Rape | 10242 Greenhouse Rd Ste 201, Cypress, TX 77433-1855 | Medical Physician Assistant | 2026-06-01 |
| Brenna Kalyn Meyers | 1051 Care Way, Fredericksburg, VA 22401-8425 | Medical Physician Assistant | 2026-06-01 |
| Parker Lyons | 200 Memorial Ave, Westminster, MD 21157-5726 | Medical Physician Assistant | 2026-06-02 |
| Sherree Nicole Weakley | 20 York St, New Haven, CT 06510-3220 | Medical Physician Assistant | 2026-06-04 |
| Carissa Novotny | 132 Franciscan Way, Loretto, PA 15940-9703 | Medical Physician Assistant | 2026-06-05 |
| Kaitlyn Scali | 1 Plainsboro Rd, Plainsboro, NJ 08536-1913 | Medical Physician Assistant | 2026-06-04 |
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| Street Address |
4601 HERITAGE TRACE PKWY |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-8905 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Abigayle Ryan Cross · Abigayle Ryan Neel | 4601 Heritage Trace Pkwy, Fort Worth, TX 76244-8905 | Physician Assistant | 2021-10-07 |
| Roberta Jane Burk · Roberta Desplinter | 4601 Heritage Trace Pkwy, Fort Worth, TX 76244-8905 | Audiologist | 2021-02-09 |
| Brandon Lee Christianson | 4601 Heritage Trace Pkwy, Fort Worth, TX 76244 | Otolaryngology Physician | 2010-05-07 |
| Elizabeth Walstrom Kehrwald | 4601 Heritage Trace Pkwy, Keller, TX 76244 | Audiologist | 2009-10-16 |
| Kristin Marie Schmidt · Kristin Marie Horan | 4601 Heritage Trace Pkwy, Fort Worth, TX 76244 | Audiologist | 2015-10-29 |
| Spencer Pevahouse | 4601 Heritage Trace Pkwy, Fort Worth, TX 76244-8905 | Audiologist | 2023-05-22 |
| Akhila James | 4601 Heritage Trace Pkwy, Fort Worth, TX 76244-8905 | Audiologist-Hearing Aid Fitter | 2021-07-08 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tiffaney Smith | 12650 North Beach Street, Suite 114-902, Keller, TX 76244 | Professional Counselor | 2025-10-03 |
| Athletico Ltd | 4560 Heritage Trace Parkway, Ste. 200, Fort Worth, TX 76244 | Physical Therapist | 2021-03-03 |
| Keller Desai Dental PLLC | 9500 Ray White Road, Suite 105, Fort Worth, TX 76244 | General Practice Dentistry | 2023-05-01 |
| Ali Waadallah Altitinchi | 5310 N Tarrant Parkway, Suite 106, Fortworth, TX 76244 | Endodontist | 2022-10-11 |
| Emma Guilstorf | 9726 N Beach St, Keller, TX 76244 | Social Worker | 2025-12-10 |
| Divya Nilesh Rana | 4801 Golden Triangle Blvd, Suite 121, Fort Worth, TX 76244 | Family Nurse Practitioner | 2024-01-29 |
| Margaret Mackenzie Wilson | 5320 North Tarrant Parkway, St 250, Fort Worth, TX 76244 | Behavioral Analyst | 2021-08-06 |
| Brennan Benson Dds | 13000 Park Vista Blvd, Fort Worth, TX 76244 | Dental Clinic/Center | 2023-07-21 |
| Grace Elizabeth Awbrey | 4917 Golden Triangle Blvd., Suite #421, Fort Worth, TX 76244 | Behavior Technician | 2025-01-20 |
| Bethany Michelle Waltman · Bethany Michelle White | 10640 N Riverside Dr., Suite 200, Fort Worth, TX 76244 | Speech-Language Pathologist | 2020-07-21 |
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| Caitlin Leigh Olinger · Caitlin Leigh Gosik | 3801 Dr Martin Luther King Jr Blvd, Kansas City, MO 64130-2807 | Family Nurse Practitioner | 2026-04-10 |
| Caitlin Hurley | 1959 Ne Pacific St, Seattle, WA 98195-7263 | Student in an Organized Health Care Education/Training Program | 2026-03-09 |
| Caitlin Brielle Sebastian · Caitlin Brielle Salvatore | 55 Fruit St, Boston, MA 02114-2696 | Student in an Organized Health Care Education/Training Program | 2026-03-26 |
| Caitlin Tayag | 1935 Medical District Dr, Dallas, TX 75235-7701 | Student in an Organized Health Care Education/Training Program | 2026-04-02 |
| Caitlin Kindberg | 102 S Winooski Ave, Burlington, VT 05401-7406 | Community Health Worker | 2026-05-12 |
| Caitlin Conklin | 1204 Linden St, Dallas Center, IA 50063-1052 | Speech-Language Pathologist | 2025-06-16 |
| Caitlin Wager · Caitlin Young | 2420 Westside Rd, Camas Valley, OR 97416-9720 | Diagnostic Radiology Physician | 2022-01-21 |
| Caitlin Savage | 12330 E 21st St N Ste C, Wichita, KS 67206-3572 | Family Nurse Practitioner | 2026-05-16 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |