CALEB WETTSCHURACK – Physician Assistant, NPI 1699668087

CALEB WETTSCHURACK is a healthcare provider. based in Columbus, Indiana. specializing in PHYSICIAN ASSISTANT. The NPI Number for CALEB WETTSCHURACK is 1699668087

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
CALEB WETTSCHURACK
NPI
1699668087
Phone
Not provided
Address
3843 HERITAGE CT
Enumeration Date
2 June 2025
Last Update Date
2 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8123765277
Graduation Year
2025 (1 year ago)
PAC ID
3870071574
Group Practice PAC ID
1557265287
Professional Enrollment ID
I20260203002845
Address ID
IN472015351CO2400XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for CALEB WETTSCHURACK

  • 3843 HERITAGE CT

    COLUMBUS, IN 472038113

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260203002845IPhysician AssistantINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47203)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557265287View full group profile
NameSpecialtyState
Emergency MedicineIN
Emergency MedicineIN
Nurse PractitionerIN
Emergency MedicineIN
Emergency MedicineMN
Emergency MedicineKS
Emergency MedicineIN
Emergency MedicineIN
Emergency MedicineIN

Reviews

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Frequently asked questions

How is CALEB WETTSCHURACK identified in CMS data?
CMS-hosted NPPES data lists CALEB WETTSCHURACK with NPI 1699668087.
Is CALEB WETTSCHURACK listed as active for patients and plans?
The listing shows CALEB WETTSCHURACK as active in the NPI system.
What taxonomy line describes CALEB WETTSCHURACK?
For research purposes, treat CALEB WETTSCHURACK as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does CALEB WETTSCHURACK serve?
CALEB WETTSCHURACK's listing highlights Columbus, Indiana; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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