Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Callie Van Dyck, PA-C

Individual provider Nurse's Aide · NPI 1184407355

Callie Van Dyck, PA-C is a Physician Assistant in Manitowoc, Wisconsin. Qualified in 2025, 1 year ago. Practices with Aurora Advanced Healthcare, Inc, a 1,101-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
1
Licensed in
MN, WI
In the registry since
2023
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3509 Dewey St
Manitowoc, WI 54220-5813
Phone: (920) 686-5731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6901 W Edgerton Ave, Greenfield, WI 53220-4420 — (262) 325-5244

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8831 (WI)
Nurse's Aide Taxonomy 376K00000X · Licence 10822836 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184407355
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 14, 2023
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Aurora Advanced Healthcare, Inc. — 1101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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