Healthcare Provider Details

I. General information

NPI: 1821785387
Provider Name (Legal Business Name): CASEY MARIE SCHOETTLE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 02/16/2025
Certification Date: 02/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11700 N MERIDIAN ST
CARMEL IN
46032-4656
US

IV. Provider business mailing address

1635 FLETCHER AVE
INDIANAPOLIS IN
46203-1238
US

V. Phone/Fax

Practice location:
  • Phone: 317-688-5840
  • Fax: 317-962-3916
Mailing address:
  • Phone: 317-374-0919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number28223805A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number71014110A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number71014110A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: