NPI age
11 years
Enumerated 2015-03-11
● Active
Type 1 · Individual
Caitlin C. Oetken, PA-C
Oetken is 1 of 42 physician assistant providers in Fort Worth and 1 of 2220 in Texas.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-09-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2220 active physician assistant providers in Texas.
NPI age
11 years
↓ 4 yr below median (15 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-03Enumerated in NPPES
2015
2026
Where they practice
Practice location
4601 Heritage Trace Pkwy
Fort Worth, TX 762448905
Mailing address
4601 Heritage Trace Pkwy
Fort Worth, TX 762448905
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1680 Fm 407, Ste. 120
Northlake, TX 762476201
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 014517600 | |
| 01 (FL) | IC674Z | MCR |
| 01 (FL) | Y0R0Q | BCBS |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Fort Worth in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.